Individual provider Active NPI

Lauren P Jefferson

  • Prosthetics Case Management
  • College Park, MD
National Provider Identifier
1881405652
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
117553 Issued in MD
Practice address
10250 Baltimore Ave Ste 101
College Park, MD 20740-4202
Phone
(202) 258-2385
NPI assigned
Jan 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 117553 MD Primary

Addresses

Primary practice location

10250 Baltimore Ave Ste 101
College Park, MD 20740-4202

Mailing address

10250 Baltimore Ave Ste 101
College Park, MD 20740-4202
Phone (202) 258-2385

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

LicenseStateTypeSpecialty
117553MDMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
LJ Styles Hair, LLC CurrentSince Jan 26, 2025 Accepting new patients

Locations

10250 Baltimore Ave
Ste 101
College Park, MD 20740
Phone (202) 258-2385

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": "1737331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1881405652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 BALTIMORE AVE STE 101",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404202",
            "telephone_number": "202-258-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 BALTIMORE AVE STE 101",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404202",
            "telephone_number": "202-258-2385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "LAUREN",
        "middle_name": "P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "MD",
            "license": "117553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.