Active NPI
Lauren Casey Beattie, FNP-C
- Dermatology Physician
- Boiling Springs, SC
National Provider Identifier
1437925195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 28099
- Practice address
- 107 Parris Bridge Rd
Boiling Springs, SC 29316-1924 - Phone
- (864) 274-3006
- NPI assigned
- Dec 4, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 28099 | SC | |
| Dermatology Physician | 207N00000X | 28099 | SC | Primary |
Addresses
Primary practice location
107 Parris Bridge Rd
Boiling Springs, SC 29316-1924
Mailing address
512 World Tour Dr
Inman, SC 29349-5926
Phone (864) 621-4786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28099 | SC | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1437925195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 WORLD TOUR DR",
"city": "INMAN",
"state": "SC",
"postal_code": "293495926",
"telephone_number": "864-621-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 PARRIS BRIDGE RD",
"city": "BOILING SPRINGS",
"state": "SC",
"postal_code": "293161924",
"telephone_number": "864-274-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEATTIE",
"first_name": "LAUREN",
"middle_name": "CASEY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "28099",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "28099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boiling Springs, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.