Active NPI
Lauren Hanley, FNP
- Family Nurse Practitioner
- Northport, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-177987
- Practice address
- 4280 Watermelon Rd Ste 110
Northport, AL 35473 - Phone
- (205) 710-3838
- NPI assigned
- Apr 8, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP125229 | TX | |
| Family Nurse Practitioner | 363LF0000X | 828524 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1-177987 | AL | Primary |
Addresses
Primary practice location
4280 Watermelon Rd Ste 110
Northport, AL 35473
Mailing address
4280 Watermelon Rd Ste 110
Northport, AL 35473-5163
Phone (678) 982-0069
Other practice location 1
1907 Cypress Creek Rd
Suite 104
Cedar Park, TX 78613-4150
Phone (512) 346-7966
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Oakside CT
Suite 201
Canton, GA 30114-2498
Phone (844) 893-0012
2920 Ronald Reagan Blvd
Suite 103
Cumming, GA 30041-7578
Phone (844) 893-0012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 828524 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twelvestone Infusion Centers LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients | |
| Rural Urgent Care LLC | Current | Accepting new patients |
Locations
1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088
1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552
1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033
125 Oakside Ct
Ste 201
Canton, GA 30114
2920 Ronald Reagan Blvd
Ste 103
Cumming, GA 30041
Organizations & group practices 3
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.
-
dba MainStreet Family Care
- Rural Health Clinic/Center
- Eufaula, AL
- NPI 1588450316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570752000000",
"number": "1629497508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4280 WATERMELON RD STE 110",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354735163",
"telephone_number": "678-982-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4280 WATERMELON RD STE 110",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "35473",
"telephone_number": "205-710-3838"
}
],
"practiceLocations": [
{
"address_1": "1907 Cypress Creek Rd",
"address_2": "Suite 104",
"address_purpose": "LOCATION",
"city": "Cedar Park",
"state": "TX",
"postal_code": "786134150",
"country_code": "US",
"telephone_number": "512-346-7966",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANLEY",
"first_name": "LAUREN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2019-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP125229",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "828524",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-177987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northport, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.