Active NPI
Lauren Craft Dyer, A.P.R.N.
- Psychiatric/Mental Health Nurse Practitioner
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 3923
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP1472 | Medicaid | SC |
Other names 1
- Lauren C Miller
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 99437 | SC | MD | Registered Nurse |
| 3923 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anderson Family Care, PA | Current | Accepting new patients | |
| Itrust Wellness Group | Psychiatric/Mental Health | Current | Accepting new patients |
| Chestnut Hill Mental Health Center, Inc. | Current | Accepting new patients | |
| Chestnut Hill Mental Health Center, Inc | Current | Accepting new patients | |
| Itrust Cares LLC | Psychiatric/Mental Health | Past | 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
- 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.
-
- Psychiatric Residential Treatment Facility
- Travelers Rest, SC
- NPI 1386603793
SC
-
- Psychiatry Physician
- Greenville, SC
- NPI 1629517222
Psychiatric/Mental Health, SC
-
- Family Medicine Physician
- Anderson, SC
- NPI 1942261185
-
- Psychiatry Physician
- Greenville, SC
- NPI 1922316512
-
- Psychiatric/Mental Health Nurse Practitioner
- Greenville, SC
- NPI 1225751068
Psychiatric/Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.