Lark Lauren Reasoner, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

8470 Issued in NE

Practice address

3051 Cahill Main
Fitchburg, WI 53711-7109

Phone

(608) 661-7200

NPI assigned

Jul 10, 2019

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lark Lauren Meiners Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Group Health Cooperative of South Central Wisconsin

  • Health Maintenance Organization
  • Madison, WI
  • NPI 1245260165
  Medicare reassignment NPD

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1053963058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 LADY BUG LN",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535939005",
            "telephone_number": "815-814-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 CAHILL MAIN",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117109",
            "telephone_number": "608-661-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REASONER",
        "first_name": "LARK",
        "middle_name": "LAUREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "8470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARK",
            "last_name": "MEINERS",
            "middle_name": "LAUREN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Audrey Ramoino, PHARMD
• William Randlett
• Jessica L Rapp, CCC-SLP
• Pichaya Sarasombath Ratarasarn, M.D.
• Diana K Rayburn, OTR/L
• Victor Jose Recalde, BS, MS
• Diane Recob, CAPSW
• Michael Joseph Reese, D.D.S.
• Lacey Lenee Reeson, MS CCC SLP
• Madison Nichole Reiber, DC

• Psychiatry Physician in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.