Individual provider Active NPI

Lauren Ehredt, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1730744970
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177475 Issued in VA
Practice address
14241 Midlothian Tpke Ste 180
Midlothian, VA 23113-6500
Phone
(804) 338-9144
NPI assigned
May 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177475 VA Primary

Addresses

Primary practice location

14241 Midlothian Tpke Ste 180
Midlothian, VA 23113-6500

Mailing address

14241 Midlothian Tpke Ste 180
Midlothian, VA 23113-6500
Phone (804) 338-9144

Other practice location 1

26317 Washington St.
St. Petersburg, VA 23803
Phone (804) 338-9144

Other names 1

  • Lauren Ehredt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250123003709 VA Order and Referring Only - Nurse Practitioner 8628507464

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024177475VAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1730744970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14241 MIDLOTHIAN TPKE STE 180",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136500",
            "telephone_number": "804-338-9144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14241 MIDLOTHIAN TPKE STE 180",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136500",
            "telephone_number": "804-338-9144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26317 Washington St.",
            "address_purpose": "LOCATION",
            "city": "St. Petersburg",
            "state": "VA",
            "postal_code": "23803",
            "country_code": "US",
            "telephone_number": "804-338-9144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EHREDT",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "EHREDT",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.