Active NPI
Lauren Vera, PH.D.
- Psychologist
- Springfield, MO
National Provider Identifier
1467961888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2017041165
- Practice address
- 3525 S National Ave Ste 206
Springfield, MO 65807-7315 - Phone
- (417) 269-6891
- Fax
- (417) 269-5595
- NPI assigned
- Sep 28, 2017
- Last updated
- May 24, 2023
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2017041165 | MO | Primary |
Addresses
Primary practice location
3525 S National Ave Ste 206
Springfield, MO 65807-7315
Mailing address
PO Box 802843
Kansas City, MO 64180-2843
Phone (417) 730-6430
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017041165 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684886400000",
"number": "1467961888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 802843",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641802843",
"telephone_number": "417-730-6430",
"fax_number": "417-269-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 S NATIONAL AVE STE 206",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658077315",
"telephone_number": "417-269-6891",
"fax_number": "417-269-5595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERA",
"first_name": "LAUREN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-28",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2017041165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.