Individual provider Active NPI

Maureen Jean Lamont, ANP

  • Adult Health Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1194916734
Registry record updated Dec 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
005001754 Issued in NC
Practice address
3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211
Phone
(336) 993-3146
Fax
(336) 992-3930
NPI assigned
Aug 8, 2007
Last updated
Dec 1, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 005001754 NC Primary

Addresses

Primary practice location

3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211

Mailing address

3069 Trenwest Dr
Ste 200
Winston Salem, NC 27103-3211
Phone (336) 993-3146

Other identifiers 2

IdentifierTypeStateIssuer
175RNOtherNCBCBS
7004991MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20180305000142 NC Order and Referring Only - Nurse Practitioner 3577630995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005001754NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Health Services, PC Past Accepting new patients
Oldtown Immediate Care, PA Past Accepting new patients
Robinhood Integrative Health, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mlamont@landmarkhealth-direct.org

Organizations & group practices 3

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": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417392000000",
    "number": "1194916734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 TRENWEST DR",
            "address_2": "STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033211",
            "telephone_number": "336-993-3146",
            "fax_number": "336-992-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 TRENWEST DR",
            "address_2": "STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033211",
            "telephone_number": "336-993-3146",
            "fax_number": "336-992-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMONT",
        "first_name": "MAUREEN",
        "middle_name": "JEAN",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2014-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "005001754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "175RN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7004991",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.