Individual provider Active NPI

Lauren Rosa, PA-C

  • Physician Assistant
  • Northampton, MA
National Provider Identifier
1750894507
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA6958 Issued in MA
Practice address
395 Pleasant St
Northampton, MA 01060-3914
Phone
(413) 584-7787
Fax
(413) 584-7778
NPI assigned
Nov 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA6958 MA Primary

Addresses

Primary practice location

395 Pleasant St
Northampton, MA 01060-3914

Mailing address

395 Pleasant Street
Northampton, MA 01060-3914
Phone (413) 584-7787

Other names 1

  • Lauren Mazzola Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190529002230 MA Practitioner - Physician Assistant 5597008805 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2864SCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Center for Intergrative Medicine Family Medicine Past Accepting new patients

Organizations & group practices 2

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": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1750894507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 PLEASANT STREET",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603914",
            "telephone_number": "413-584-7787",
            "fax_number": "413-584-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 PLEASANT ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603914",
            "telephone_number": "413-584-7787",
            "fax_number": "413-584-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSA",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MAZZOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.