Active NPI
Lauren Reavis Heller, FNP-BC
- Nurse Practitioner
- Yadkinville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5012930
- Practice address
- 305 E Lee Ave
Yadkinville, NC 27055-8132 - Phone
- (336) 679-2661
- Fax
- (336) 679-7056
- NPI assigned
- Feb 28, 2020
- Last updated
- Feb 8, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5012930 | NC | Primary |
Addresses
Primary practice location
305 E Lee Ave
Yadkinville, NC 27055-8132
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice location 1
Medical Center Boulevard
Winston Salem, NC 27157-3309
Phone (336) 716-2011
Other practice location 2
2005 Pisgah Church Rd
Greensboro, NC 27455-3309
Phone (336) 716-9150
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
305 E Lee Ave
Yadkinville, NC 27055-8132
Phone (336) 679-2661
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Yadkin Emergency Physicians, PLLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital Inc | Nurse Practitioner | Current | Accepting new patients |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc | Past | Accepting new patients |
Locations
6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473
180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000
291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181
100 Robinhood Medical Plz
Winston Salem, NC 27106
Phone (336) 718-0560
305 E Lee Ave
Yadkinville, NC 27055
Phone (336) 679-2661
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- lheller718418@direct.novanthealth.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NH Forsyth Primary Care Clinics
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Emergency Medicine Physician
- Elkin, NC
- NPI 1417443771
-
dba Novant Health Yadkin Medical Associates
- Family Medicine Physician
- Yadkinville, NC
- NPI 1730147588
Nurse Practitioner
-
dba Novant Health Heart & Vascular Institute - Frontis Plaza
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
dba Novant Health Surry Medical Associates
- Family Medicine Physician
- Mount Airy, NC
- NPI 1295783108
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1336773217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E LEE AVE",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270558132",
"telephone_number": "336-679-2661",
"fax_number": "336-679-7056"
}
],
"practiceLocations": [
{
"address_1": "Medical Center Boulevard",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271573309",
"country_code": "US",
"telephone_number": "336-716-2011",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2005 Pisgah Church Rd",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274553309",
"country_code": "US",
"telephone_number": "336-716-9150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELLER",
"first_name": "LAUREN",
"middle_name": "REAVIS",
"name_prefix": "Mrs.",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-28",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5012930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yadkinville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.