Lauren Antonison Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LAUREN ANTONISON WELLNESS LLC

Practice address

213 Westwood CT
West Deptford, NJ 08096-3134

Phone

(856) 684-0326

NPI assigned

May 4, 2024

Last updated

May 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lauren AntonisonNPI 1235538091

Title

Owner

Phone

(856) 684-0326

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Antonison, FNP-BC

  • Family Nurse Practitioner
  • West Deptford, NJ
  • NPI 1235538091
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716076800000",
    "number": "1881441087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MANTUA PIKE STE 720-208",
            "city": "MANTUA",
            "state": "NJ",
            "postal_code": "080511606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 WESTWOOD CT",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963134",
            "telephone_number": "856-684-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN ANTONISON WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-04",
        "last_updated": "2024-05-19",
        "certification_date": "2024-05-19",
        "status": "A",
        "authorized_official_last_name": "ANTONISON",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-684-0326"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Christopher Kopach, MSW, LSW
• Krista Kranzley, LPC
• Madison Sophia Labreck
• Melody A Laranjeira, M.S., CCC-SLP
• Heather M Laughland, ANP-BC, APN
• Brandie Legion
• Shannin Dion Lewis, D.O
• Jennifer L Liao, M.D.
• Steven Andrew Litz, MD
• Live to Thrive Inc.

• Family Nurse Practitioner in West Deptford, NJ
• Providers in West Deptford, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.