Active NPI
Lauren Clare Rafka Jansen, M.D.
- Public Health & General Preventive Medicine Physician
- Peabody, MA
National Provider Identifier
1861848145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 279354
- Practice address
- 9 Centennial Dr FL 2
Peabody, MA 01960-7939 - Phone
- (774) 314-8687
- NPI assigned
- May 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 279354 | MA | Primary |
Addresses
Primary practice location
9 Centennial Dr FL 2
Peabody, MA 01960-7939
Mailing address
2041 East St
PMB 677
Concord, CA 94520-2126
Phone (774) 314-8687
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279354 | MA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1861848145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 EAST ST",
"address_2": "PMB 677",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202126",
"telephone_number": "774-314-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 CENTENNIAL DR FL 2",
"city": "PEABODY",
"state": "MA",
"postal_code": "019607939",
"telephone_number": "774-314-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANSEN",
"first_name": "LAUREN",
"middle_name": "CLARE RAFKA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-05",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MA",
"license": "279354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.