Individual provider Active NPI

Lauren Elizabeth Palmer, CPNP

  • Pediatric Nurse Practitioner
  • Clarksburg, MD
National Provider Identifier
1457760456
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R186838 Issued in MD
Practice address
23218 Brewers Tavern Way
Clarksburg, MD 20871-4391
Phone
(301) 528-8181
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R186838 MD Primary

Addresses

Primary practice location

23218 Brewers Tavern Way
Clarksburg, MD 20871-4391

Mailing address

12922 Big Horn Dr
Silver Spring, MD 20904-6833
Phone (301) 412-7278

Other names 1

  • Ms. Lauren Elizabeth Haley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230111003227 DC Practitioner - Nurse Practitioner 6800266636 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R186838MDMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 1, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

17001 Science Dr
Ste 116
Bowie, MD 20715
Phone (301) 464-2300

17341 Melford Blvd
Bowie, MD 20715

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9811 Mallard Dr
Ste 102
Laurel, MD 20708
Phone (301) 776-4777

12520 Prosperity Dr
Ste 150
Silver Spring, MD 20904
Phone (301) 622-6020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.palmer.1@8042.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1457760456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12922 BIG HORN DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209046833",
            "telephone_number": "301-412-7278",
            "fax_number": "301-528-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23218 BREWERS TAVERN WAY",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208714391",
            "telephone_number": "301-528-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MD",
            "license": "R186838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "HALEY",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksburg, MD

Sources for this page

Verify at the official NPI Registry.