Individual provider Active NPI

Taren Lazzari, CNS

  • Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
  • Lawrenceville, GA
National Provider Identifier
1679555874
Registry record updated Nov 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X
License
RN124270 Issued in GA
Practice address
230 S Culver St
Lawrenceville, GA 30046-4806
Phone
(770) 963-1537
Fax
(866) 373-5720
NPI assigned
Nov 15, 2005
Last updated
Nov 5, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist 364SP0813X RN124270 GA Primary

Addresses

Primary practice location

230 S Culver St
Lawrenceville, GA 30046-4806

Mailing address

230 S Culver St
Lawrenceville, GA 30046-4806
Phone (770) 963-1537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20031223000230 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 1456259126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2133 Lawrenceville Suwanee Rd
Suite 12 236
Suwanee, GA 30024-2648
Phone (404) 335-8705

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN124270GAMDGeropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Consultative Services, L.L.C. CurrentSince Jun 1, 2003 Accepting new patients
Simple Care Solutions LLC Past Accepting new patients
Taren Lazzari Msrncs Corp PastSince Jan 1, 2005 Accepting new patients
Avenia Behavioral Management, Inc Past Accepting new patients
Asfc Outreach Therapeutic Counseling Services, LLC PastSince Jul 11, 2012 Accepting new patients
Wellstar Psychiatry, LLC Past Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients

Locations

4780 Ashford Dunwoody Rd
Ste A266
Atlanta, GA 30338
Phone (404) 228-9661

230 S Culver St
Lawrenceville, GA 30046
Phone (678) 883-8609

Organizations & group practices 8

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1679555874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464806",
            "telephone_number": "770-963-1537",
            "fax_number": "866-373-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464806",
            "telephone_number": "770-963-1537",
            "fax_number": "866-373-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZZARI",
        "first_name": "TAREN",
        "name_prefix": "Ms.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "GA",
            "license": "RN124270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.