Lauren Marie Ameden, MD
Individual provider Active NPI Pediatric Emergency Medicine (Pediatrics) Physician · Providence, RI
NPI 1679192736 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1679192736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X
- License
- MD21177 (RI)
- Practice address
- 593 Eddy Street
Claverick 2
Providence, RI 02903 - Phone
- (401) 444-4000
- NPI assigned
- Apr 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230817001015 | MA | Order and Referring Only - Pediatric Medicine |
4981066396 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Center Corporation | Current | Accepting new patients |
Interoperability endpoints
- ldzera97964@direct.bmc.masshiway.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | MD21177 | RI | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
593 Eddy Street
Claverick 2
Providence, RI 02903
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
801 Albany St Fl 4
Boston, MA 02119-3791
Phone (617) 414-5514
Other providers in Providence, RI
- Natasha Amaral
- Rebecca Amaral
- Tanisha Sousa Amaral
- Franni Amaro
- Agustina Amaya
- Jonathan Ameli
- Afshin Ameri
- American Center for Bioregulatory Medicine and Dentistry
- American Current Care PA
- Ali Amin
All providers in Providence, RI · Pediatric Emergency Medicine (Pediatrics) Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.