Individual provider Active NPI

Lauren Rachelle Baze, PA-C

  • Physician Assistant
  • Washington, DC
National Provider Identifier
1952109803
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110010718 Issued in VA
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

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251121003075 DC Practitioner - Physician Assistant 0244722718 Reassigns benefits to 1 organization
I20251210003801 VA Practitioner - Physician Assistant 0244722718 Reassigns benefits to 1 organization

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
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

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

LicenseStateTypeSpecialty
PA200002164DCMDPhysician Assistant
0110010718VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 2, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Sep 2, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.