Active NPI
Lauren Pengrin, D.O.
- Psychiatry Physician
- Washington, DC
National Provider Identifier
1578978003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO034700
- Practice address
- 1100 Alabama Ave SE
Psychiatry Residency Program
Washington, DC 20032-4540 - Phone
- (202) 299-5000
- NPI assigned
- Jun 23, 2014
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | DO034700 | DC | Primary |
Addresses
Primary practice location
1100 Alabama Ave SE
Psychiatry Residency Program
Washington, DC 20032-4540
Mailing address
1100 Alabama Ave SE
Psychiatry Residency Program
Washington, DC 20032-4540
Phone (202) 299-5000
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO034700 | DC | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554940800000",
"number": "1578978003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ALABAMA AVE SE",
"address_2": "PSYCHIATRY RESIDENCY PROGRAM",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324540",
"telephone_number": "202-299-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ALABAMA AVE SE",
"address_2": "PSYCHIATRY RESIDENCY PROGRAM",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200324540",
"telephone_number": "202-299-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENGRIN",
"first_name": "LAUREN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2019-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "DO034700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.