Active NPI
Lauren Degroff
- Occupational Therapist
- Norfolk, VA
National Provider Identifier
1629373188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119004219
- Practice address
- 1015 West 47TH Street
Norfolk, VA 23529-4837 - Phone
- (757) 683-7041
- NPI assigned
- Jan 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119004219 | VA | Primary |
Addresses
Primary practice location
1015 West 47TH Street
Norfolk, VA 23529-4837
Mailing address
521 Lavender LN
Virginia Beach, VA 23462-2032
Phone (804) 338-4809
Other practice location 1
11468 Haltonshire Way
Glen Allen, VA 23059-4837
Phone (804) 338-4809
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0119004219 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1629373188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 LAVENDER LN",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234622032",
"telephone_number": "804-338-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 WEST 47TH STREET",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235294837",
"telephone_number": "757-683-7041"
}
],
"practiceLocations": [
{
"address_1": "11468 Haltonshire Way",
"address_purpose": "LOCATION",
"city": "Glen Allen",
"state": "VA",
"postal_code": "230594837",
"country_code": "US",
"telephone_number": "804-338-4809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGROFF",
"first_name": "LAUREN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-14",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119004219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.