Individual provider Active NPI

Lauren N O'Meal, NPP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pittsford, NY
National Provider Identifier
1073834115
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
401275 Issued in NY
Practice address
640 Kreag Rd Ste 200
Pittsford, NY 14534-3737
Phone
(585) 433-1336
Fax
(585) 433-1356
NPI assigned
Jun 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 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 Registered Nurse 163WP0808X 565864 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 401275 NY Primary

Addresses

Primary practice location

640 Kreag Rd Ste 200
Pittsford, NY 14534-3737

Mailing address

640 Kreag Rd Ste 200
Pittsford, NY 14534-3737
Phone (585) 433-1336

Other identifiers 1

IdentifierTypeStateIssuer
03326294MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 26, 2022 through Oct 26, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
565864NYMDPsychiatric/Mental Health Registered Nurse
401275NYMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1073834115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 KREAG RD STE 200",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343737",
            "telephone_number": "585-433-1336",
            "fax_number": "585-433-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 KREAG RD STE 200",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145343737",
            "telephone_number": "585-433-1336",
            "fax_number": "585-433-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'MEAL",
        "first_name": "LAUREN",
        "middle_name": "N",
        "credential": "NPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "565864",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "401275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03326294",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

Verify at the official NPI Registry.