Individual provider Active NPI

Lorraine M Archer, FNP

  • Family Nurse Practitioner
  • Laurens, SC
National Provider Identifier
1437455334
Registry record updated Jan 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4262 Issued in SC
Practice address
106 Parkview Dr
Laurens, SC 29360-2652
Phone
(864) 984-0571
Fax
(864) 984-3610
NPI assigned
Feb 10, 2011
Last updated
Jan 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4262 SC Primary

Addresses

Primary practice location

106 Parkview Dr
Laurens, SC 29360-2652

Mailing address

50 S B B King Blvd Ste 100
Memphis, TN 38103-9802
Phone (866) 949-0108

Other practice location 1

975 W Faris Rd
Greenville, SC 29605-4241
Phone (864) 729-8330

Other identifiers 1

IdentifierTypeStateIssuer
NP2290MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20140324001054 SC Practitioner - Nurse Practitioner 2264663814 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince May 8, 2023 Accepting new patients
New Horizon Family Health Services, Inc. CurrentSince Dec 27, 2013 Accepting new patients
New Horizon Family Health Services Inc CurrentSince Dec 27, 2013 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince May 8, 2023 Accepting new patients
New Horizon Family Health Services Inc. PastSince Sep 10, 2023 Accepting new patients
Landmark Medical of Tennessee PC PastSince Feb 8, 2023 Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541

130 Mallard St
Greenville, SC 29601
Phone (864) 233-1534

975 W Faris Rd
Greenville, SC 29605
Phone (864) 729-8330

Interoperability endpoints

  • Direct secure messaging: ms_larcher1@landmarkhealth-direct.org

Organizations & group practices 6

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": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674950400000",
    "number": "1437455334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S B B KING BLVD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381039802",
            "telephone_number": "866-949-0108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PARKVIEW DR",
            "city": "LAURENS",
            "state": "SC",
            "postal_code": "293602652",
            "telephone_number": "864-984-0571",
            "fax_number": "864-984-3610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 W Faris Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296054241",
            "country_code": "US",
            "telephone_number": "864-729-8330",
            "fax_number": "864-751-0479",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "LORRAINE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2023-01-29",
        "certification_date": "2023-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "4262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP2290",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurens, SC

Sources for this page

Verify at the official NPI Registry.