Individual provider Active NPI

Lauren Kin, CRNP

  • Nurse Practitioner
  • Berwyn, PA
National Provider Identifier
1982481479
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2023084770 Issued in PA
Practice address
1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410
Phone
(215) 346-6050
Fax
(215) 220-3652
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2023084770 PA
Gerontology Nurse Practitioner 363LG0600X 2023084770 PA
Nurse Practitioner 363L00000X 2023084770 PA Primary

Addresses

Primary practice location

1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410

Mailing address

4190 City Ave Ste 528
Philadelphia, PA 19131-1635
Phone (800) 964-4364

Other practice location 1

4190 City Ave Ste 528
Philadelphia, PA 19131-1635
Phone (800) 964-4364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240829000440 PA Practitioner - Nurse Practitioner 7810436276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Jefferson Medical College of Thomas Jefferson University, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vpa PCGroup PAC ID 9234041948, 181 clinicians

Practice addresses (Care Compare)

King of Prussia, PA 19406
Phone (215) 346-6050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2023084770PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Apr 1, 2025 Accepting new patients
Vpa PC CurrentSince Apr 1, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Residentialist Housecall Med GRP, PC a Pennsylvania Corp CurrentSince Aug 1, 2024 Accepting new patients
Housecall Doctors Medical Group Inc PastSince Aug 1, 2024 Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

1055 Westlakes Dr
Ste 3152
Berwyn, PA 19312
Phone (215) 246-6050

4190 City Ave
Ste 528
Philadelphia, PA 19131
Phone (866) 453-8800

Interoperability endpoints

  • Direct secure messaging: lauren.kin.1@32913.direct.athenahealth.com

Organizations & group practices 5

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 6

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": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1982481479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 CITY AVE STE 528",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311635",
            "telephone_number": "800-964-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR STE 3152",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "215-346-6050",
            "fax_number": "215-220-3652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4190 City Ave Ste 528",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191311635",
            "country_code": "US",
            "telephone_number": "800-964-4364",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIN",
        "first_name": "LAUREN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "2023084770",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "2023084770",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "2023084770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

Verify at the official NPI Registry.