Individual provider Active NPI

Lauren Haines, FNP-BC

  • Family Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1821407925
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016093 Issued in NC
Practice address
207 W Millbrook Rd Ste 210
Raleigh, NC 27609-4490
Phone
(919) 764-6399
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2276527 MA
Family Nurse Practitioner 363LF0000X 6460 CT
Family Nurse Practitioner 363LF0000X 5016093 NC Primary

Addresses

Primary practice location

207 W Millbrook Rd Ste 210
Raleigh, NC 27609-4490

Mailing address

207 W Millbrook Rd Ste 210
Raleigh, NC 27609-4490
Phone (919) 764-6399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT, AZ, NY, FL, RI, CO, TX, NC9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20141217001635 MA Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20180521001748 CT Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20251017001526 AZ Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20251017002227 NY Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20251027000924 FL Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20251106002425 RI Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20251128000763 CO Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20251202003085 TX Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 1 organization
I20251215003735 NC Practitioner - Nurse Practitioner 7012230311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ez Health Medical Group PAGroup PAC ID 7214469816, 34 clinicians
Brooklyn Family Medicine Practice PCGroup PAC ID 7911401260, 18 clinicians

Practice addresses (Care Compare)

Knightdale, NC 27545
Phone (385) 327-2541

100 Cambridge St
FL 14
Boston, MA 02114-2509
Phone (385) 327-2541

1801 NE 123Rd St
Suite 314
North Miami, FL 33181-2883
Phone (385) 327-2541

1910 S Stapley Dr
Suite 120
Mesa, AZ 85204-6676
Phone (385) 327-2541

245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (385) 327-2541

3129 Kingsley Dr
Suite 1940
Pearland, TX 77584-8511
Phone (385) 327-2541

333 George Washington Hwy
Suite a
Smithfield, RI 02917-1948
Phone (385) 327-2541

386 Main St
Suite 400
Middletown, CT 06457-3360
Phone (385) 327-2541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
348742NYMDLicensed Practical Nurse
6460CTMDFamily Nurse Practitioner
5016093NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brooklyn Family Medicine Practice PC CurrentSince Aug 12, 2025 Accepting new patients
Ez Health Medical Group PA CurrentSince Aug 12, 2025 Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Locations

1910 S Stapley Dr
Ste 120
Mesa, AZ 85204
Phone (480) 480-2794

8310 S Valley Hwy
Fl 3
Greenwood Village, CO 80112
Phone (303) 370-6911

386 Main St
Ste 400
Middletown, CT 06457
Phone (860) 962-5670

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

1801 NE 123rd St
Ste 314
North Miami, FL 33181
Phone (239) 380-8220

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

4037 E Independence Blvd
Charlotte, NC 28205
Phone (980) 377-1115

401 New Karner Rd
Ste 3
Albany, NY 12205
Phone (512) 222-9792

3010 41st Ave
Ste 400
Long Island City, NY 11101

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

333 George Washington Hwy
Ste A
Smithfield, RI 02917

3129 Kingsley Dr
Ste 1940
Pearland, TX 77584
Phone (713) 489-2606

Interoperability endpoints

  • Direct secure messaging: lauren.haines.1@30093.direct.athenahealth.com
  • Direct secure messaging: lauren.haines@202362935902212.direct.elationemr.com

Organizations & group practices 3

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": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1821407925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W MILLBROOK RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094490",
            "telephone_number": "919-764-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W MILLBROOK RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094490",
            "telephone_number": "919-764-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "LAUREN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2276527",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "6460",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.