Active NPI
Lauren Lee Gauthier, NP-C
- Family Nurse Practitioner
- Lenox, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704309553
- Practice address
- 36267 26 Mile Rd Ste 3
Lenox, MI 48048-3253 - Phone
- (586) 716-1371
- Fax
- (586) 716-4855
- NPI assigned
- Oct 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704309553 | MI | Primary |
Addresses
Primary practice location
36267 26 Mile Rd Ste 3
Lenox, MI 48048-3253
Mailing address
36267 26 Mile Rd Ste 3
Lenox, MI 48048-3253
Phone (586) 716-1371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36267 26 Mile Rd
Suite 3
Lenox, MI 48048-3253
Phone (586) 716-1371
Hospital & facility affiliations
- McLaren Macomb
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704309553 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Healthcare Network, PC | Family | Current | Accepting new patients |
Locations
36267 26 Mile Rd
Ste 3
Lenox, MI 48048
Phone (586) 716-1371
3350 Gratiot Blvd
Marysville, MI 48040
Phone (810) 364-4000
Interoperability endpoints
- lauren.gauthier.1@11357.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Marysville, MI
- NPI 1750334405
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Shelby Township, MI
- NPI 1184206385
-
- General Acute Care Hospital
- Mount Clemens, MI
- NPI 1316938327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1558025635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36267 26 MILE RD STE 3",
"city": "LENOX",
"state": "MI",
"postal_code": "480483253",
"telephone_number": "586-716-1371",
"fax_number": "586-716-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36267 26 MILE RD STE 3",
"city": "LENOX",
"state": "MI",
"postal_code": "480483253",
"telephone_number": "586-716-1371",
"fax_number": "586-716-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUTHIER",
"first_name": "LAUREN",
"middle_name": "LEE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704309553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenox, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.