Lauren Shaw Brock, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-131700 Issued in AL

Practice address

4280 Watermelon Rd Ste 110
Northport, AL 35473-5250

Phone

(205) 710-3838

Fax

(205) 710-3839

NPI assigned

Apr 27, 2015

Last updated

Jan 31, 2022By 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

Medicare fee-for-service enrollment

Enrolled in AL, MS2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dutch Medical Clinics, IncGroup PAC ID 9234376088, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Eupora Home health agency, Eupora, MS, CCN 257122
• BMH-Golden Triangle Hospital, Columbus, MS, CCN 250100

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.brock.1@17762.direct.athenahealth.com
• Direct secure messaging: lauren.brock.1@24945.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.

• Dutch Medical Clinics, Inc

  dba Allegro Family Clinics

  • Multi-Specialty Clinic/Center
  • Columbus, MS
  • NPI 1215276175
  Medicare reassignment Care Compare group NPD
• Dutch Medical Clinics, Inc.

  dba Allegro Family Clinic of East Columbus

  • Family Medicine Physician
  • Columbus, MS
  • NPI 1639681976
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Able Home Health, Inc.

  dba Mississippi HomeCare of Eupora

  • Home Health Agency
  • Eupora, MS
  • NPI 1659483196
  Care Compare affiliation
• Baptist Memorial Hospital - Golden Triangle Inc.

  • General Acute Care Hospital
  • Columbus, MS
  • NPI 1609830173
  Care Compare affiliation

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1427435643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 110",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-710-3838",
            "fax_number": "205-710-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 WATERMELON RD STE 110",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735250",
            "telephone_number": "205-710-3838",
            "fax_number": "205-710-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "LAUREN",
        "middle_name": "SHAW",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-27",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Meaders Bragg, PHARM.D
• Normekia Braggs, CRNP
• Lisa Brashier, NP
• Tammy Brazeal
• Bright Horizons Family Resource Center, LLC.
• Courtney Brooks
• David Charles Brooks, PHARM.D.
• Daryl Palmer Brown, CHIROPRACTOR
• Evonne R Brown, BSN, RN
• Karen Brown, D.C.

• Family Nurse Practitioner in Northport, AL
• Providers in Northport, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; 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.

Verify at the official NPI Registry.