Individual provider Active NPI

Lauren Mansour, CNA, CHHA, LTC

  • Nurse's Aide
  • Broken Arrow, OK
National Provider Identifier
1588924039
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
37V243111202 Issued in OK
Practice address
3517 E Gillette St
Broken Arrow, OK 74014-8867
Phone
(191) 860-6988
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 37V243121202 OK
Nurse's Aide 376K00000X 37V243111202 OK Primary

Addresses

Primary practice location

3517 E Gillette St
Broken Arrow, OK 74014-8867

Mailing address

3517 E Gillette St
Broken Arrow, OK 74014-8867
Phone (191) 860-6988

Other names 1

  • Lauren Doty Former name

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

LicenseStateTypeSpecialty
37V243121202OKMDHome Health Aide
37V243111202OKMDNurse's Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1588924039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 E GILLETTE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148867",
            "telephone_number": "191-860-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 E GILLETTE ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148867",
            "telephone_number": "191-860-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "LAUREN",
        "credential": "CNA, CHHA, LTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OK",
            "license": "37V243121202",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "OK",
            "license": "37V243111202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DOTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.