Lauren Ann Thacker, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

3015422 Issued in KY

Practice address

484 Tollage CRK
Pikeville, KY 41501-3305

Phone

(606) 230-2255

Fax

(606) 437-3001

NPI assigned

Nov 3, 2020

Last updated

Aug 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Lauren Ann Lawson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Interoperability endpoints

• Direct secure messaging: lauren.thacker.1@19494.direct.athenahealth.com
• Direct secure messaging: lauren.thacker.2@19494.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Compassion Pediatrics of Wayland

  • Rural Health Clinic/Center
  • Wayland, KY
  • NPI 1922754290
  NPD (past)
• Compassion Services

  • Rural Health Clinic/Center
  • Pikeville, KY
  • NPI 1619642972
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1134720634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TOLLAGE CRK",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013305",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Adams Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pikeville",
            "state": "KY",
            "postal_code": "415013088",
            "country_code": "US",
            "telephone_number": "606-230-2255",
            "fax_number": "606-437-3001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2643 King Kelly Coleman Hwy",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "KY",
            "postal_code": "41666",
            "country_code": "US",
            "telephone_number": "606-531-4040",
            "fax_number": "606-284-2039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THACKER",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3015422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134720634",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100712980",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134720634",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "LAWSON",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Thacker, BCBA-D
• Chadward Thacker, MD
• Erica La'Shae Thacker, BA, T-CADC, TCM
• Kristianna Hope Thacker
• Kristin Thacker
• Mitzi Bates Thacker, ARNP BC
• Rhonda Thacker, RN
• Sarah Thacker, APRN
• Shawna Thacker, CADC
• Shelby Thacker

• Psychiatric/Mental Health Nurse Practitioner in Pikeville, KY
• Providers in Pikeville, KY by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.