Individual provider Active NPI

Lauren Lesak Caraway, PA

  • Physician Assistant
  • Lake Charles, LA
National Provider Identifier
1629308481
Registry record updated Aug 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200554 Issued in LA
Practice address
2903 1St Ave
Lake Charles, LA 70601-8809
Phone
(337) 478-6480
Fax
(337) 474-9637
NPI assigned
Dec 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA06525 TX
Physician Assistant 363A00000X 200554 LA Primary

Addresses

Primary practice location

2903 1St Ave
Lake Charles, LA 70601-8809

Mailing address

2903 1St Ave
Lake Charles, LA 70601-8809
Phone (337) 478-6480

Other identifiers 4

IdentifierTypeStateIssuer
8CF454OtherTXBCBSTX PROV. #
875N30OtherTXBC/BS #
P00852590OtherTXRAILROAD MEDICARE
307406401MedicaidTX

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
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Clinic of Southwest Louisiana, Inc. Past Accepting new patients
South Texas Medical Clinics, P.a. Past Accepting new patients
Swla Neonatology Past Accepting new patients

Organizations & group practices 3

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": "1262131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377561600000",
    "number": "1629308481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018809",
            "telephone_number": "337-478-6480",
            "fax_number": "337-474-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018809",
            "telephone_number": "337-478-6480",
            "fax_number": "337-474-9637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAWAY",
        "first_name": "LAUREN",
        "middle_name": "LESAK",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-30",
        "last_updated": "2013-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06525",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROV. #",
            "identifier": "8CF454",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "875N30",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00852590",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307406401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.

Verify at the official NPI Registry.