Individual provider Active NPI

Lauren G Norrenberns, CPNP-PC

  • Pediatric Nurse Practitioner
  • Belleville, IL
National Provider Identifier
1861917106
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209016025 Issued in IL
Practice address
2900 Frank Scott Pkwy W Ste 950
Belleville, IL 62223-5010
Phone
(618) 233-3205
Fax
(618) 233-1407
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 209016025 IL Primary

Addresses

Primary practice location

2900 Frank Scott Pkwy W Ste 950
Belleville, IL 62223-5010

Mailing address

2900 Frank Scott Pkwy W Ste 950
Belleville, IL 62223-5010
Phone (618) 233-3205

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.norrenberns.1@9559.direct.athenahealth.com Direct

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209016025ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Illinois Healthcare Foundation Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren.norrenberns.1@9559.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1861917106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W STE 950",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235010",
            "telephone_number": "618-233-3205",
            "fax_number": "618-233-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W STE 950",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235010",
            "telephone_number": "618-233-3205",
            "fax_number": "618-233-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRENBERNS",
        "first_name": "LAUREN",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209016025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.norrenberns.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2900 Frank Scott Pkwy W Ste 950",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622235010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.