Individual provider Active NPI

Lauren Craft Dyer, A.P.R.N.

  • Psychiatric/Mental Health Nurse Practitioner
  • Anderson, SC
National Provider Identifier
1083848360
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3923 Issued in SC
Practice address
2000 E Greenville St
Suite 1600
Anderson, SC 29621-1580
Phone
(864) 716-6008
Fax
(864) 716-6732
NPI assigned
May 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 99437 SC
Family Nurse Practitioner 363LF0000X 3923 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3923 SC Primary

Addresses

Primary practice location

2000 E Greenville St
Suite 1600
Anderson, SC 29621-1580

Mailing address

2000 E Greenville St
Suite 1600
Anderson, SC 29621-1580
Phone (864) 716-6008

Other identifiers 1

IdentifierTypeStateIssuer
NP1472MedicaidSC

Other names 1

  • Lauren C Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091023000109 SC Practitioner - Nurse Practitioner 2062559032 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99437SCMDRegistered Nurse
3923SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Family Care, PA CurrentSince Jul 6, 1999 Accepting new patients
Itrust Wellness Group Psychiatric/Mental Health CurrentSince Apr 26, 2021 Accepting new patients
Chestnut Hill Mental Health Center, Inc. CurrentSince Feb 24, 2018 Accepting new patients
Chestnut Hill Mental Health Center, Inc Current Accepting new patients
Itrust Cares LLC Psychiatric/Mental Health PastSince Apr 26, 2021 Accepting new patients

Locations

605 E Greenville St
Anderson, SC 29621
Phone (864) 231-7004

3424 Clemson Blvd
Anderson, SC 29621
Phone (834) 261-4350

149 Commons Way
Greenville, SC 29611

121 Commons Way
Greenville, SC 29611

1 Havenwood Ln
Travelers Rst, SC 29690
Phone (864) 834-8013

Interoperability endpoints

  • Direct secure messaging: lauren.dyer.1@33755.direct.athenahealth.com

Organizations & group practices 5

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": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1083848360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "address_2": "SUITE 1600",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-716-6008",
            "fax_number": "864-716-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "address_2": "SUITE 1600",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-716-6008",
            "fax_number": "864-716-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER",
        "first_name": "LAUREN",
        "middle_name": "CRAFT",
        "name_prefix": "Mrs.",
        "credential": "A.P.R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "99437",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3923",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1472",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MILLER",
            "middle_name": "C",
            "credential": "A.P.R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

Verify at the official NPI Registry.