Active NPI
Lauren Rachelle Baze, PA-C
- Physician Assistant
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110010718
- Practice address
- 2021 K St NW Ste 615
Washington, DC 20006-1066 - Phone
- (202) 808-8295
- Fax
- (202) 808-8296
- NPI assigned
- Mar 6, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110010718 | VA | Primary |
| Physician Assistant | 363A00000X | PA200002164 | DC |
Addresses
Primary practice location
2021 K St NW Ste 615
Washington, DC 20006-1066
Mailing address
2021 K St NW Ste 615
Washington, DC 20006-1066
Phone (202) 808-8295
Other practice location 1
1635 N George Mason Dr Ste 180
Arlington, VA 22205-3633
Phone (703) 718-4282
Other names 1
- Ms. Lauren Rachelle Omdahl
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Nova Southeastern College of Osteo Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1635 N George Mason
Dr185 Care FR OBGYN PLLC
Arlington, VA 22205-3633
Phone (703) 717-4076
1635 N George Mason Dr
Suite 180
Arlington, VA 22205-3633
Phone (703) 718-4828
2021 K St NW
Washington, DC 20006-1003
9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800
950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA200002164 | DC | MD | Physician Assistant |
| 0110010718 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Nova Physician Wellness Center PLLC | Past | Accepting new patients |
Locations
2021 K St NW
Ste 615
Washington, DC 20006
Phone (202) 808-8295
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798
8644 Sudley Rd
#220
Manassas, VA 20110
101 1st St NW
Ste 3
Pulaski, VA 24301
Phone (703) 718-4282
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- lauren.baze.1@8042.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, VA
- NPI 1790785996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1952109803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 K ST NW STE 615",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061066",
"telephone_number": "202-808-8295",
"fax_number": "202-808-8296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 K ST NW STE 615",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200061066",
"telephone_number": "202-808-8295",
"fax_number": "202-808-8296"
}
],
"practiceLocations": [
{
"address_1": "1635 N George Mason Dr Ste 180",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "VA",
"postal_code": "222053633",
"country_code": "US",
"telephone_number": "703-718-4282",
"fax_number": "703-888-1824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAZE",
"first_name": "LAUREN",
"middle_name": "RACHELLE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-06",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110010718",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DC",
"license": "PA200002164",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "OMDAHL",
"middle_name": "RACHELLE",
"prefix": "MS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.