Individual provider Active NPI

Lauren Noel Ison, PA-C

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1679090963
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TC636 Issued in KY
Practice address
117 Fox Plan Rd
Monroeville, PA 15146-2723
Phone
(412) 896-4248
Fax
(412) 896-4271
NPI assigned
Aug 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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
Physician Assistant 363A00000X TC636 KY Primary

Addresses

Primary practice location

117 Fox Plan Rd
Monroeville, PA 15146-2723

Mailing address

117 Fox Plan Rd
Monroeville, PA 15146-2723
Phone (412) 896-4248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170918000129 KY Practitioner - Physician Assistant 9133493000 Reassigns benefits to 1 organization
I20230310000373 PA Practitioner - Physician Assistant 9133493000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medical Specialties Inc Physician Assistant CurrentSince Sep 5, 2017 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Sep 5, 2017 Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

Organizations & group practices 4

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": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1679090963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 FOX PLAN RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462723",
            "telephone_number": "412-896-4248",
            "fax_number": "412-896-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 FOX PLAN RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462723",
            "telephone_number": "412-896-4248",
            "fax_number": "412-896-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISON",
        "first_name": "LAUREN",
        "middle_name": "NOEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.