Active NPI
Lauren Wilson
- Personal Care Attendant
- Chesapeake, VA
National Provider Identifier
1669890679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 4425 Portsmouth Blvd
Suite 210E
Chesapeake, VA 23321-2152 - Phone
- (757) 230-0056
- Fax
- (757) 809-5688
- NPI assigned
- Apr 7, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
4425 Portsmouth Blvd
Suite 210E
Chesapeake, VA 23321-2152
Mailing address
4425 Portsmouth Blvd
Suite 210E
Chesapeake, VA 23321-2152
Phone (757) 230-0056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HCO-161137 | Medicaid | VA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1669890679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4425 PORTSMOUTH BLVD",
"address_2": "SUITE 210E",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233212152",
"telephone_number": "757-230-0056",
"fax_number": "757-809-5688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4425 PORTSMOUTH BLVD",
"address_2": "SUITE 210E",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233212152",
"telephone_number": "757-230-0056",
"fax_number": "757-809-5688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-07",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HCO-161137",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.