Active NPI
Lauren Roman, NP-C
- Family Medicine Physician
- Naperville, IL
National Provider Identifier
1881110872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 209016267
- Practice address
- 1971 Gowdey Rd
Naperville, IL 60563-4232 - Phone
- (630) 416-7293
- Fax
- (630) 416-7293
- NPI assigned
- Aug 21, 2017
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 209016267 | IL | Primary |
Addresses
Primary practice location
1971 Gowdey Rd
Naperville, IL 60563-4232
Mailing address
1520 County Farm CT
Wheaton, IL 60189-2730
Phone (630) 373-4352
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 |
|---|---|---|---|
| 209016267 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1881110872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 COUNTY FARM CT",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892730",
"telephone_number": "630-373-4352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 GOWDEY RD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605634232",
"telephone_number": "630-416-7293",
"fax_number": "630-416-7293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "LAUREN",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-21",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "209016267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.