Active NPI
Lauren Elizabeth Jones, DO
- Pediatrics Physician
- Fenton, MO
National Provider Identifier
1477084564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2020033533
- Practice address
- 714 Gravois Rd
Ste 200
Fenton, MO 63026-7766 - Phone
- (636) 349-5437
- Fax
- (636) 349-6663
- NPI assigned
- Mar 21, 2017
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2020033533 | MO | Primary |
Addresses
Primary practice location
714 Gravois Rd
Ste 200
Fenton, MO 63026-7766
Mailing address
PO Box 7412053
Chicago, IL 60674-2053
Phone (636) 349-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200045918 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wuca-Fenton Pediatrics, LLC | Pediatrics | Current | Accepting new patients |
Locations
714 Gravois Rd
Ste 200
Fenton, MO 63026
Phone (636) 349-5437
Organizations & group practices 1
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": "1490054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1477084564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412053",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742053",
"telephone_number": "636-349-5437",
"fax_number": "636-349-6663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 GRAVOIS RD",
"address_2": "STE 200",
"city": "FENTON",
"state": "MO",
"postal_code": "630267766",
"telephone_number": "636-349-5437",
"fax_number": "636-349-6663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-21",
"last_updated": "2025-04-18",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2020033533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200045918",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "714 Gravois Rd",
"address_2": "STE 200",
"city": "Fenton",
"state": "MO",
"country_code": "US",
"postal_code": "630267766",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.