Individual provider Active NPI

Lauren Faith McDaniel, CRNP

  • Family Nurse Practitioner
  • Washington, PA
National Provider Identifier
1629815303
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP029768 Issued in PA
Practice address
101 Trich Dr Ste 4
Washington, PA 15301-5989
Phone
(724) 705-1345
NPI assigned
Jul 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP029768 PA Primary

Addresses

Primary practice location

101 Trich Dr Ste 4
Washington, PA 15301-5989

Mailing address

102 Norris Dr
Canonsburg, PA 15317-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813003925 PA Practitioner - Nurse Practitioner 1254879901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians

Practice addresses (Care Compare)

2614 Memorial Blvd
Suite a
Connellsville, PA 15425-1405
Phone (724) 858-4662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP029768PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Aug 5, 2024 Accepting new patients

Locations

3109 Fairway Dr
Altoona, PA 16602
Phone (814) 696-8886

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

240 W 11th St
Ste 103
Erie, PA 16501
Phone (814) 790-5111

514 Pellis Rd
Greensburg, PA 15601
Phone (724) 858-4662

850 Clairton Blvd
Ste 3300
Pittsburgh, PA 15236
Phone (412) 532-1209

101 Trich Dr
Ste 4
Washington, PA 15301
Phone (724) 503-4431

119 Vip Dr
Wexford, PA 15090
Phone (412) 533-2202

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
  • Direct secure messaging: lauren.mcdaniel.1@11878.direct.athenahealth.com

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1629815303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 NORRIS DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153172245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TRICH DR STE 4",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153015989",
            "telephone_number": "724-705-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "LAUREN",
        "middle_name": "FAITH",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, PA

Sources for this page

Verify at the official NPI Registry.