Individual provider Active NPI

Lauren Jeddou, RN

  • School Registered Nurse
  • King George, VA
National Provider Identifier
1326916495
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
0001233409 Issued in VA
Practice address
12153 Ridge Rd
King George, VA 22485-4520
Phone
(540) 848-0325
NPI assigned
Oct 29, 2025
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 0001233409 VA Primary

Addresses

Primary practice location

12153 Ridge Rd
King George, VA 22485-4520

Mailing address

12153 Ridge Rd
King George, VA 22485-4520
Phone (540) 848-0325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001233409VAMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1761696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1326916495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12153 RIDGE RD",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854520",
            "telephone_number": "540-848-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12153 RIDGE RD",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854520",
            "telephone_number": "540-848-0325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDDOU",
        "first_name": "LAUREN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-29",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "VA",
            "license": "0001233409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.