Individual provider Active NPI

Lauren Jarboe

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Pleasant, SC
National Provider Identifier
1447919808
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
25573 Issued in SC
Practice address
710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045
Phone
(843) 800-1303
NPI assigned
Dec 14, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 25573 SC Primary

Addresses

Primary practice location

710 Johnnie Dodds Blvd Ste 200
Mount Pleasant, SC 29464-3045

Mailing address

1174 Ayers Plantation Way
Mount Pleasant, SC 29466-8588
Phone (240) 997-8726

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
I20220128001704 SC Practitioner - Nurse Practitioner 7214329002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sweetgrass Psychiatry LLCGroup PAC ID 4688932957, 25 clinicians

Practice addresses (Care Compare)

710 Johnnie Dodds Blvd
Suite 200
Mount Pleasant, SC 29464-3045
Phone (843) 800-1303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25573SCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Psychiatry LLC Psychiatric/Mental Health CurrentSince Feb 1, 2022 Accepting new patients

Locations

103 Palm Blvd
Ste 2A
Isle of Palms, SC 29451
Phone (843) 270-8024

710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303

Organizations & group practices 1

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": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1447919808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 AYERS PLANTATION WAY",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668588",
            "telephone_number": "240-997-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 JOHNNIE DODDS BLVD STE 200",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643045",
            "telephone_number": "843-800-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARBOE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "25573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

Verify at the official NPI Registry.