Individual provider Active NPI

Lauren Taylor McLean

  • Pediatric Nurse Practitioner
  • Sumter, SC
National Provider Identifier
1801579297
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
27612 Issued in SC
Practice address
370 S Pike W
Sumter, SC 29150-2664
Phone
(803) 774-7337
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 27612 SC Primary

Addresses

Primary practice location

370 S Pike W
Sumter, SC 29150-2664

Mailing address

370 Trailwood Dr
Sumter, SC 29154-9590
Phone (843) 509-7496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20231219004205 SC Practitioner - Nurse Practitioner 6002266897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tandem Health SC Current Accepting new patients
Tandem Health SC CurrentSince Aug 21, 2023 Accepting new patients
Tandem Health SC CurrentSince Aug 21, 2023 Accepting new patients
Tandem Health SC Past Accepting new patients

Locations

1278 N Layfayette St
Sumter, SC 29150

370 S Pike W
Sumter, SC 29150
Phone (803) 774-6448

550 S Pike W
Sumter, SC 29150

Interoperability endpoints

  • Direct secure messaging: lauren.mclean.1@13095.direct.athenahealth.com

Organizations & group practices 4

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1801579297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 TRAILWOOD DR",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291549590",
            "telephone_number": "843-509-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 S PIKE W",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291502664",
            "telephone_number": "803-774-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "LAUREN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "27612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.