Individual provider Active NPI

Megan D Lauvray, NP

  • Women's Health Nurse Practitioner
  • Kettering, OH
National Provider Identifier
1386916740
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
COA13112-NP Issued in OH
Practice address
3533 Southern Blvd
Suite 4300
Kettering, OH 45429-1272
Phone
(937) 610-3220
Fax
(937) 610-3225
NPI assigned
Feb 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA13112NP OH
Women's Health Nurse Practitioner 363LW0102X COA13112-NP OH Primary

Addresses

Primary practice location

3533 Southern Blvd
Suite 4300
Kettering, OH 45429-1272

Mailing address

7756 Washington Village Dr Ste 145
Dayton, OH 45459-3999
Phone (937) 610-3220

Other identifiers 3

IdentifierTypeStateIssuer
COA13112NPOtherOHOHIO LICENSE
APPLIED/PENDINGMedicaidOH
0087198MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mlauvray11171@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120301000827 OH Practitioner - Nurse Practitioner 4385803899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kettering Independent Medical Group IncGroup PAC ID 3173710936, 699 clinicians

Practice addresses (Care Compare)

3533 Southern Blvd
Suite 3750
Kettering, OH 45429-1268
Phone (937) 610-3220

4403 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 433-5309

4441 Far Hills Ave
Kettering, OH 45429-2405
Phone (937) 298-7751

7756 Washington Village Dr
Suite 135
Centerville, OH 45459-3999
Phone (937) 425-4137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA13112NPOHMDNurse Practitioner
COA13112-NPOHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kettering Independent Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
William R Dorsey D O Inc Past Accepting new patients

Locations

7756 Washington Village Dr
Ste 145
Dayton, OH 45459
Phone (937) 395-8444

4403 Far Hills Ave
Kettering, OH 45429
Phone (937) 395-3910

3533 Southern Blvd
Ste 3750
Kettering, OH 45429
Phone (937) 395-9542

1 Prestige Pl
Ste 550
Miamisburg, OH 45342
Phone (937) 752-2306

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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1386916740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7756 WASHINGTON VILLAGE DR STE 145",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593999",
            "telephone_number": "937-610-3220",
            "fax_number": "937-610-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3533 SOUTHERN BLVD",
            "address_2": "SUITE 4300",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454291272",
            "telephone_number": "937-610-3220",
            "fax_number": "937-610-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUVRAY",
        "first_name": "MEGAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA13112NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA13112-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE",
            "identifier": "COA13112NP",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED/PENDING",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0087198",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlauvray11171@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste 145",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "7756 Washington Village Dr Ste 145",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454593999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

Verify at the official NPI Registry.