Individual provider Active NPI

Lauren Hadin Vree, NP

  • Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1760701247
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95017194 Issued in CA
Practice address
52 Dore St
San Francisco, CA 94103-3828
Phone
(415) 861-0828
Fax
(415) 861-0140
NPI assigned
May 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95017194 CA Primary
Licensed Vocational Nurse 164X00000X 234460 CA

Addresses

Primary practice location

52 Dore St
San Francisco, CA 94103-3828

Mailing address

368 Fell St
San Francisco, CA 94102-5144
Phone (415) 861-0828

Other names 1

  • Lauren Hadin Jackson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230222002447 CA Practitioner - Nurse Practitioner 0547633596 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234460CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthright 360 Current Accepting new patients
Mercy Doctors Medical Group Inc CurrentSince Apr 11, 2024 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Feb 2, 2026 Accepting new patients
Mobile Care Medical Group, Inc CurrentSince Feb 2, 2026 Accepting new patients
Healthright 360 CurrentSince Nov 4, 2022 Accepting new patients
Healthright 360 PastSince Nov 4, 2022 Accepting new patients

Locations

558 Clayton St
San Francisco, CA 94117
Phone (415) 746-1950

1 Shrader St
Ste 640
San Francisco, CA 94117
Phone (415) 422-0000

3850 Smith St
Unit 3
Union City, CA 94587
Phone (213) 261-4978

Organizations & group practices 6

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": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1760701247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 FELL ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025144",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 DORE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941033828",
            "telephone_number": "415-861-0828",
            "fax_number": "415-861-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VREE",
        "first_name": "LAUREN",
        "middle_name": "HADIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-24",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95017194",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "234460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "JACKSON",
            "middle_name": "HADIN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.