Individual provider Active NPI

Lauren Elizabeth Branyon, MMS, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1720375231
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02935 Issued in NC
Practice address
3288 Robinhood Rd
Suite 202
Winston Salem, NC 27106-5464
Phone
(336) 768-3335
Fax
(336) 768-4171
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02935 NC Primary

Addresses

Primary practice location

3288 Robinhood Rd
Suite 202
Winston Salem, NC 27106-5464

Mailing address

3288 Robinhood Rd
Suite 202
Winston Salem, NC 27106-5464
Phone (336) 768-3335

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-02935NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Robinhood Integrative Health, PLLC Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378944000000",
    "number": "1720375231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD",
            "address_2": "SUITE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-768-3335",
            "fax_number": "336-768-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 ROBINHOOD RD",
            "address_2": "SUITE 202",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065464",
            "telephone_number": "336-768-3335",
            "fax_number": "336-768-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANYON",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2013-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.