Individual provider Active NPI

Claire Louise Laurenza, MSN, APRN,BC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Reston, VA
National Provider Identifier
1386640134
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
0015000179 Issued in VA
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

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7070119OtherVAAETNA NUMBER
J3170001OtherVACAREFIRST BC NUMBER
059009OtherVAANTHEM BC/BS
255174000OtherVAMAGELLAN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0001093793VAMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
The Dorr Center, LLC Past Accepting new patients
Stuart Andrews, LLC PastSince Feb 16, 2017 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.

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

Verify at the official NPI Registry.