Individual provider Active NPI

Lauren Divirgilio, AGNP-C

  • Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1144125113
Registry record updated Oct 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
32917 Issued in SC
Practice address
207 Farming Creek Dr
Simpsonville, SC 29680-6535
Phone
(708) 790-6538
NPI assigned
Oct 10, 2026
Last updated
Oct 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 32917 SC Primary

Addresses

Primary practice location

207 Farming Creek Dr
Simpsonville, SC 29680-6535

Mailing address

207 Farming Creek Dr
Simpsonville, SC 29680-6535
Phone (708) 790-6538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791590400000",
    "number": "1144125113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 FARMING CREEK DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806535",
            "telephone_number": "708-790-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FARMING CREEK DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806535",
            "telephone_number": "708-790-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIVIRGILIO",
        "first_name": "LAUREN",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-10",
        "last_updated": "2026-10-10",
        "certification_date": "2026-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "32917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.