Individual provider Active NPI

Lauren Locke

  • Family Nurse Practitioner
  • Cedar Lake, IN
National Provider Identifier
1780150607
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71008561A Issued in IN
Practice address
13963 Morse St
Cedar Lake, IN 46303-9639
Phone
(219) 374-5555
NPI assigned
Oct 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28210044A IN
Family Nurse Practitioner 363LF0000X 71008561A IN Primary

Addresses

Primary practice location

13963 Morse St
Cedar Lake, IN 46303-9639

Mailing address

13963 Morse St
Cedar Lake, IN 46303-9639
Phone (219) 374-5555

Other identifiers 1

IdentifierTypeStateIssuer
714850342MedicaidIN

Other names 1

  • Lauren Deyoung Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181219000978 IN Practitioner - Nurse Practitioner 1759626716 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

13963 Morse St
Cedar Lake, IN 46303-9639
Phone (219) 374-5555

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28210044AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc CurrentSince Nov 18, 2018 Accepting new patients
219 Health Network Inc Family CurrentSince Sep 26, 2022 Accepting new patients
219 Health Network, Inc. CurrentSince Sep 26, 2022 Accepting new patients

Locations

13963 Morse St
#B
Cedar Lake, IN 46303
Phone (219) 374-5555

13963 Morse St
Cedar Lake, IN 46303
Phone (219) 374-2400

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

100 W Chicago Ave
Ste F
East Chicago, IN 46312
Phone (219) 392-7016

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Interoperability endpoints

  • Direct secure messaging: ldeyoung41714@ssdirect.comhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1780150607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13963 MORSE ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039639",
            "telephone_number": "219-374-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13963 MORSE ST",
            "city": "CEDAR LAKE",
            "state": "IN",
            "postal_code": "463039639",
            "telephone_number": "219-374-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28210044A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008561A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714850342",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "DEYOUNG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Lake, IN

Sources for this page

Verify at the official NPI Registry.