Individual provider Active NPI

Lauren Ann King

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1306677273
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209030809 Issued in IL
Practice address
635 N Fairbanks CT
Chicago, IL 60611-5435
Phone
(312) 472-4260
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209030809 IL Primary

Addresses

Primary practice location

635 N Fairbanks CT
Chicago, IL 60611-5435

Mailing address

905 N Orleans St Unit 1004
Chicago, IL 60610-3032
Phone (920) 639-4181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924000854 MO Practitioner - Nurse Practitioner 3779088539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Consultants LLCGroup PAC ID 2567714900, 8 clinicians

Practice addresses (Care Compare)

224 S Woods Mill Rd
Suite 610S
Chesterfield, MO 63017-3410
Phone (636) 685-7795

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209030809ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Consultants LLC CurrentSince Sep 25, 2025 Accepting new patients
Emergency Physicians of St. Luke'S, LLC CurrentSince Jan 26, 2026 Accepting new patients
St. Lukes Medical Group Past Accepting new patients
Physician Specialists of St Lukes LLC Past Accepting new patients

Locations

224 S Woods Mill Rd
Ste 610S
Chesterfield, MO 63017
Phone (636) 685-7795

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

774 Gravois Bluffs Blvd
Fenton, MO 63026
Phone (636) 343-5223

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1306677273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N ORLEANS ST UNIT 1004",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606103032",
            "telephone_number": "920-639-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N FAIRBANKS CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115435",
            "telephone_number": "312-472-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209030809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.