Individual provider Active NPI

Lazedra Monah Myisha Cade, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1043860562
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
23250 Issued in SC
Practice address
118 Montgomery Dr
Anderson, SC 29621-3334
Phone
(864) 226-9144
NPI assigned
Sep 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23250 SC Primary
Acute Care Nurse Practitioner 363LA2100X 23250 SC

Addresses

Primary practice location

118 Montgomery Dr
Anderson, SC 29621-3334

Mailing address

118 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 226-9144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IA2 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
I20191127000214 SC Practitioner - Nurse Practitioner 7911330220 Reassigns benefits to 4 organizations
I20260318000805 IA Practitioner - Nurse Practitioner 7911330220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aid UpstateGroup PAC ID 2961783238, 6 clinicians

Practice addresses (Care Compare)

118 Montgomery Dr
Anderson, SC 29621-3334
Phone (864) 250-0607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23250SCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health CurrentSince Oct 1, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2026 Accepting new patients
Anmed Health Current Accepting new patients
Aid Upstate CurrentSince Aug 2, 2021 Accepting new patients
Anmed Health CurrentSince Oct 1, 2019 Accepting new patients
Anmed Health CurrentSince Oct 1, 2019 Accepting new patients
Anmed Health Current Accepting new patients
Long'S Drugstores of South Carolina, Inc. PastSince Aug 2, 2021 Accepting new patients

Locations

600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787

800 N Fant St
Ste A
Anderson, SC 29621
Phone (864) 225-5131

118 Montgomery Dr
Anderson, SC 29621
Phone (864) 224-1692

800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

811 Pendleton St
Ste 10
Greenville, SC 29601
Phone (864) 250-0607

Interoperability endpoints

  • Direct secure messaging: ljohnson37502@direct.anmedhealth.net
  • Direct secure messaging: ljohnson211363@direct.ghs.myhfn.org

Organizations & group practices 9

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": "1568678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1043860562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "864-226-9144",
            "fax_number": "864-481-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 MONTGOMERY DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213334",
            "telephone_number": "864-226-9144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADE",
        "first_name": "LAZEDRA",
        "middle_name": "MONAH MYISHA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-17",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "23250",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "23250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.