Active NPI
Lauren Eversole, LPN
- Licensed Practical Nurse
- Dayton, OH
National Provider Identifier
1659807139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LPN.138381.MEDS-IV
- Practice address
- 8120 Garnet Dr
Dayton, OH 45458-2141 - Phone
- (833) 510-4357
- Fax
- (866) 460-2997
- NPI assigned
- May 3, 2017
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 138381 | OH | |
| Licensed Practical Nurse | 164W00000X | LPN.138381.MEDS-IV | OH | Primary |
Addresses
Primary practice location
8120 Garnet Dr
Dayton, OH 45458-2141
Mailing address
615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (833) 510-4357
Other practice location 1
732 Beckman St
Dayton, OH 45410-2165
Phone (937) 253-1681 ext. 245
Other practice location 2
615 Elsinore Pl Ste 200
Cincinnati, OH 45202-1457
Phone (833) 510-4357
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 |
|---|---|---|---|
| 138381 | OH | MD | Licensed Practical Nurse |
| LPN.138381.MEDS-IV | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Behavioral Health, Inc. | Past | Accepting new patients | |
| Nova Behavioral Health, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- Dayton, OH
- NPI 1548217748
-
- Substance Abuse Rehabilitation Facility
- Dayton, OH
- NPI 1164782017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1659807139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 ELSINORE PL STE 200",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452021457",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8120 GARNET DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454582141",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997"
}
],
"practiceLocations": [
{
"address_1": "732 Beckman St",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454102165",
"country_code": "US",
"telephone_number": "937-253-1681 x245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Elsinore Pl Ste 200",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452021457",
"country_code": "US",
"telephone_number": "833-510-4357",
"fax_number": "866-460-2997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EVERSOLE",
"first_name": "LAUREN",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-03",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "138381",
"primary": false
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "LPN.138381.MEDS-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.