Active NPI
Lauren Louise Van Dover, APRN-CNP
- Pediatric Nurse Practitioner
- Reno, NV
National Provider Identifier
1841947918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 851926
- Practice address
- 10581 Double R Blvd
Reno, NV 89521-8909 - Phone
- (775) 982-5000
- Fax
- (775) 982-3900
- NPI assigned
- Mar 8, 2022
- Last updated
- Jul 7, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 851926 | NV | Primary |
Addresses
Primary practice location
10581 Double R Blvd
Reno, NV 89521-8909
Mailing address
1155 Mill St # Ms 14
Reno, NV 89502-1576
Phone (775) 982-5262
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 851926 | Other | NV | STATE MEDICAL LICENSE |
Other names 1
- Lauren Louise Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220726002348 | NV | Order and Referring Only - Nurse Practitioner | 8022490820 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- lvandover85057@direct.renown.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1841947918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # MS 14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10581 DOUBLE R BLVD",
"city": "RENO",
"state": "NV",
"postal_code": "895218909",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DOVER",
"first_name": "LAUREN",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-08",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NV",
"license": "851926",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "851926",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "THOMAS",
"middle_name": "LOUISE",
"credential": "APRN-CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.