Active NPI
Lauren S Bland, FNP-BC
- Family Nurse Practitioner
- Leesburg, VA
National Provider Identifier
1386972198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024168535
- Practice address
- 19500 Sandridge Way
Suite 110
Leesburg, VA 20176-3688 - Phone
- (703) 723-7337
- Fax
- (703) 723-6848
- NPI assigned
- Dec 7, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024168535 | VA | Primary |
Addresses
Primary practice location
19500 Sandridge Way
Suite 110
Leesburg, VA 20176-3688
Mailing address
PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386972198 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0024168535 | VA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1386972198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17334",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212971334",
"telephone_number": "703-443-6717",
"fax_number": "703-443-8643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19500 SANDRIDGE WAY",
"address_2": "SUITE 110",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201763688",
"telephone_number": "703-723-7337",
"fax_number": "703-723-6848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "LAUREN",
"middle_name": "S",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024168535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386972198",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.