Individual provider Active NPI

Lauren Polk Smith, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1184275562
Registry record updated Sep 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008637 Issued in CO
Practice address
1821 Hillandale Rd Ste 24a
Durham, NC 27705-2671
Phone
(919) 383-4355
NPI assigned
Sep 26, 2019
Last updated
Sep 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.0008637 CO Primary

Addresses

Primary practice location

1821 Hillandale Rd Ste 24a
Durham, NC 27705-2671

Mailing address

6080 W 92ND Ave Ste 100
Westminster, CO 80031-2935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241021002012 CO Practitioner - Physician Assistant 4082049226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthone Carenow Urgent Care LLCGroup PAC ID 3375837339, 55 clinicians

Practice addresses (Care Compare)

5620 S Parker Rd
Aurora, CO 80015-1110
Phone (720) 446-5890

6080 W 92ND Ave
Suite 1000
Westminster, CO 80031-2935
Phone (720) 479-5780

6413 Fig St
Arvada, CO 80004-1041
Phone (720) 449-8060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: lsmith406571@direct.medicine.duke.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725753600000",
    "number": "1184275562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 W 92ND AVE STE 100",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 HILLANDALE RD STE 24A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277052671",
            "telephone_number": "919-383-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LAUREN",
        "middle_name": "POLK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2024-09-08",
        "certification_date": "2024-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.