Active NPI
Claire Louise Laurenza, MSN, APRN,BC
- Adult Psychiatric/Mental Health Registered Nurse
- Reston, VA
National Provider Identifier
1386640134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Registered Nurse
- License
- 0015000179
- Practice address
- 11870 Sunrise Valley Dr
Ste 200
Reston, VA 20191-3303 - Phone
- (703) 598-8402
- Fax
- (703) 391-7381
- NPI assigned
- Jun 27, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 0001093793 | VA | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 0015000179 | VA | Primary |
Addresses
Primary practice location
11870 Sunrise Valley Dr
Ste 200
Reston, VA 20191-3303
Mailing address
2032 Royal Fern CT.
1-A
Reston, VA 20191-2032
Phone (703) 598-8402
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7070119 | Other | VA | AETNA NUMBER |
| J3170001 | Other | VA | CAREFIRST BC NUMBER |
| 059009 | Other | VA | ANTHEM BC/BS |
| 255174000 | Other | VA | MAGELLAN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040603000759 | DC | Practitioner - Certified Clinical Nurse Specialist (CNS) | 3678555695 | Practice locations: Reston, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Reston, VA 20191
Phone (703) 598-8402
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001093793 | VA | MD | Adult Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dorr Center, LLC | Past | Accepting new patients | |
| Stuart Andrews, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Reston, VA
- NPI 1134667447
-
- Clinical Social Worker
- Reston, VA
- NPI 1467549188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572220800000",
"number": "1386640134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2032 ROYAL FERN CT.",
"address_2": "1-A",
"city": "RESTON",
"state": "VA",
"postal_code": "201912032",
"telephone_number": "703-598-8402",
"fax_number": "703-391-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11870 SUNRISE VALLEY DR",
"address_2": "STE 200",
"city": "RESTON",
"state": "VA",
"postal_code": "201913303",
"telephone_number": "703-598-8402",
"fax_number": "703-391-7381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAURENZA",
"first_name": "CLAIRE",
"middle_name": "LOUISE",
"name_prefix": "Ms.",
"credential": "MSN, APRN,BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-27",
"last_updated": "2019-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "VA",
"license": "0001093793",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "VA",
"license": "0015000179",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NUMBER",
"identifier": "7070119",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC NUMBER",
"identifier": "J3170001",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "059009",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN NUMBER",
"identifier": "255174000",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.