Active NPI
Lauren Diggs Harris, AGPCNP-BC
- Dermatology Physician
- Vienna, VA
National Provider Identifier
1689332090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- R210155
- Practice address
- 8601 Westwood Center Dr Ste 100
Vienna, VA 22182-2217 - Phone
- (703) 712-7183
- NPI assigned
- Dec 2, 2021
- Last updated
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R210155 | MD | |
| Dermatology Physician | 207N00000X | R210155 | MD | Primary |
Addresses
Primary practice location
8601 Westwood Center Dr Ste 100
Vienna, VA 22182-2217
Mailing address
3907 Long Lake Dr
Owings Mills, MD 21117-1240
Phone (410) 816-6450
Other practice location 1
4321 Collington Rd Ste 230
Bowie, MD 20716-2261
Phone (301) 809-4321
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 |
|---|---|---|---|
| R210155 | MD | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aesthetic Dermatology and Dermatologic Surgery Center | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17854/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Bowie, MD
- NPI 1104068790
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1689332090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3907 LONG LAKE DR",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211171240",
"telephone_number": "410-816-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8601 WESTWOOD CENTER DR STE 100",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822217",
"telephone_number": "703-712-7183"
}
],
"practiceLocations": [
{
"address_1": "4321 Collington Rd Ste 230",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207162261",
"country_code": "US",
"telephone_number": "301-809-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARRIS",
"first_name": "LAUREN",
"middle_name": "DIGGS",
"name_prefix": "Ms.",
"credential": "AGPCNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-02",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MD",
"license": "R210155",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "R210155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.