Active NPI
Lauren T Suits, NP
- Family Nurse Practitioner
- High Point, NC
National Provider Identifier
1063158228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5016943
- Practice address
- Advanced Laser & Skin Rejuvenation
High Point, NC 27265 - Phone
- (336) 841-4025
- NPI assigned
- May 10, 2022
- 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 |
|---|---|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 301746 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5016943 | NC | Primary |
Addresses
Primary practice location
Advanced Laser & Skin Rejuvenation
High Point, NC 27265
Mailing address
229 Flat Swamp Lake Rd
Denton, NC 27239-6939
Phone (336) 803-0695
Other practice location 1
229 Flat Swamp Lake Rd
Denton, NC 27239-6939
Phone (336) 803-0695
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 301746 | Other | NCBON | |
| 5016943 | Other | NCBON NP LICENSE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkt202@musc.edu | ||
| Other URL | Phone |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301746 | NC | MD | Ambulatory Care Registered Nurse |
| 5016943 | NC | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1063158228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 FLAT SWAMP LAKE RD",
"city": "DENTON",
"state": "NC",
"postal_code": "272396939",
"telephone_number": "336-803-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ADVANCED LASER & SKIN REJUVENATION",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "27265",
"telephone_number": "336-841-4025"
}
],
"practiceLocations": [
{
"address_1": "229 Flat Swamp Lake Rd",
"address_purpose": "LOCATION",
"city": "Denton",
"state": "NC",
"postal_code": "272396939",
"country_code": "US",
"telephone_number": "336-803-0695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUITS",
"first_name": "LAUREN",
"middle_name": "T",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-10",
"last_updated": "2023-02-23",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP2201X",
"taxonomy_group": "",
"desc": "Registered Nurse, Ambulatory Care",
"state": "NC",
"license": "301746",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5016943",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBON",
"identifier": "301746",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCBON NP LICENSE",
"identifier": "5016943",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkt202@musc.edu",
"affiliation": "N",
"address_1": "229 Flat Swamp Lake Rd",
"city": "Denton",
"state": "NC",
"country_code": "US",
"postal_code": "272396939",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Phone",
"affiliation": "N",
"address_1": "Advanced Laser & Skin Rejuvenation",
"city": "High Point",
"state": "NC",
"country_code": "US",
"postal_code": "27265",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.