Individual provider Active NPI

Lauren Hogan, MS, RD

  • Registered Dietitian
  • San Luis Obispo, CA
National Provider Identifier
1063223642
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86359570 Issued in CA
Practice address
2933 Augusta St Apt 7
San Luis Obispo, CA 93401-5854
Phone
(408) 761-6802
NPI assigned
Jan 14, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 5289 TN
Registered Dietitian 133V00000X 86359570 CA Primary

Addresses

Primary practice location

2933 Augusta St Apt 7
San Luis Obispo, CA 93401-5854

Mailing address

2933 Augusta St Apt 7
San Luis Obispo, CA 93401-5854
Phone (408) 761-6802

Other practice location 1

189 Lantana Rd Ste 102
Crossville, TN 38555-5127
Phone (931) 456-0881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250814000628 TN Practitioner - Registered Dietitian Or Nutrition Professional 7911405303 Reassigns benefits to 1 organization
I20260616001276 NJ Practitioner - Registered Dietitian Or Nutrition Professional 7911405303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1225 E Weisgarber Rd
Suite 200
Knoxville, TN 37849-4016
Phone (865) 938-3627

201 E Emory Rd
Powell, TN 37849-4016
Phone (865) 938-3627

202 Dohi Dr
Loudon, TN 37774-2851
Phone (865) 205-3025

933 W Race St
Kingston, TN 37763-2123
Phone 865882010586

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
86359570CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Summit Medical Group, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Murfreesboro Medical Clinic, P.a. Past Accepting new patients
Summit Medical Group, PLLC Past Accepting new patients
Summit Medical Group,PLLC PastSince Jan 26, 2025 Accepting new patients
RF Ledon M.D. P.C. Past Accepting new patients

Locations

1607 Westgate Cir
Ste 200
Brentwood, TN 37027
Phone (615) 376-8195

109 Del Rio Pike
Franklin, TN 37064
Phone (615) 432-3854

380 W Broadway Blvd
Ste 130
Jefferson City, TN 37760
Phone (865) 475-4742

933 W Race St
Kingston, TN 37763
Phone (865) 882-0105

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

Interoperability endpoints

  • Direct secure messaging: lauren.hogan.1@20785.direct.athenahealth.com

Organizations & group practices 6

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1063223642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 AUGUSTA ST APT 7",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015854",
            "telephone_number": "408-761-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 AUGUSTA ST APT 7",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934015854",
            "telephone_number": "408-761-6802"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "189 Lantana Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385555127",
            "country_code": "US",
            "telephone_number": "931-456-0881",
            "fax_number": "833-450-5759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "LAUREN",
        "credential": "MS, RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "5289",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86359570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.