Active NPI
Lauren Michele Degroat, RBT
- Behavior Technician
- San Clemente, CA
National Provider Identifier
1831687656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-17-30356
- Practice address
- 3030 Calle Frontera
San Clemente, CA 92673-3009 - Phone
- (949) 272-6146
- Fax
- (888) 847-8864
- NPI assigned
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-17-30356 | HI | Primary |
Addresses
Primary practice location
3030 Calle Frontera
San Clemente, CA 92673-3009
Mailing address
3030 Calle Frontera
San Clemente, CA 92673-3009
Phone (949) 272-6146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-17-30356 | HI | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adrienne M. Silva | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- San Clemente, CA
- NPI 1275990079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1831687656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3030 CALLE FRONTERA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926733009",
"telephone_number": "949-272-6146",
"fax_number": "888-847-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 CALLE FRONTERA",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926733009",
"telephone_number": "949-272-6146",
"fax_number": "888-847-8864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGROAT",
"first_name": "LAUREN",
"middle_name": "MICHELE",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-17-30356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.