Lauri Maze-Davis, APRN

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

4345 Issued in SC

Practice address

130 Ben Casey Drive
Ste 102
Fort Mill, SC 29708-6567

Phone

(803) 386-3064

Fax

(866) 591-1741

NPI assigned

Dec 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Journey Revealed

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Fort Mill, SC
  • NPI 1427301092
  NPD (past) Authorized official
• Sankofa Therapeutic Concepts, LLC

  • Clinical Social Worker
  • Fort Mill, SC
  • NPI 1588816870

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1291334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1831491331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44429 ORIOLE DR",
            "address_2": "UNIT 101",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297075947",
            "telephone_number": "803-431-0734",
            "fax_number": "866-591-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 BEN CASEY DRIVE",
            "address_2": "STE 102",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086567",
            "telephone_number": "803-386-3064",
            "fax_number": "866-591-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZE-DAVIS",
        "first_name": "LAURI",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-03",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "SC",
            "license": "4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Matthews
• Claudia Mauldin, PA
• Crystal Antrease Maxwell, MD
• Melissa Maxwell, MS.ED, CCC-SLP
• Cassie Mayer, PT
• Shelby Lynn Mazzone
• Lillianne Virginia McBeth, MSW, LCSW, LISW-CP
• Megan McCarter
• McCartney Chiropractic Center
• Marc E McCartney, D.C.

• Psychiatric/Mental Health Clinical Nurse Specialist in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.