Individual provider Active NPI

Lauren Prest

  • Psychiatry Physician
  • Moab, UT
National Provider Identifier
1881012235
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036162267 Issued in IL
Practice address
4100 Easy St
Moab, UT 84532-3719
Phone
(303) 862-2395
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036162267 IL Primary
Psychiatry Physician 2084P0800X 9838449-1204 UT
Psychiatry Physician 2084P0800X 72474 MN
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4100 Easy St
Moab, UT 84532-3719

Mailing address

4100 Easy St
Moab, UT 84532-3719
Phone (303) 862-2395

Other practice location 1

501 S Chipeta Way
Room 1885
Salt Lake City, UT 84108-1222
Phone (801) 581-4096

Other practice location 2

450 Williams Way
Moab, UT 84532-2185
Phone (435) 719-3500

Other practice location 3

2160 S 1st Ave
Maywood, IL 60153-3328
Phone (708) 783-2226

Other practice location 4

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (612) 672-2288

Other practice location 5

20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (219) 866-5141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lprest232484@direct.luhs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036162267ILMDPsychiatry Physician
9838449-1204UTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspen Valley Hospital Clinics, PLLC Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Darin Rentz DO PC Psychiatry CurrentSince Jul 16, 2023 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2023 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Nov 1, 2022 Accepting new patients
Virginia Mason Medical Center Psychiatry CurrentSince Dec 1, 2022 Accepting new patients
CGH Medical Center CurrentSince Jan 31, 2023 Accepting new patients
Four Corners Community Behavioral Health Inc CurrentSince Aug 10, 2020 Accepting new patients
Virginia Mason Medical Center CurrentSince Dec 1, 2022 Accepting new patients
King County Public Hospital District No 2 CurrentSince Nov 1, 2022 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Sep 1, 2019 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 1, 2023 Accepting new patients
Aspen Valley Hospital District Clinics CurrentSince Apr 1, 2023 Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 1, 2023 Accepting new patients
Aspen Valley Hospital District CurrentSince Apr 1, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 21, 2023 Accepting new patients
Martin Luther King Jr Community Medical Foundation CurrentSince Aug 21, 2023 Accepting new patients
Moab Valley Healthcare, Inc Current Accepting new patients
SSM Health Care of Wisconsin Inc CurrentSince Sep 1, 2023 Accepting new patients
Moab Valley Healthcare, Inc. CurrentSince Sep 1, 2019 Accepting new patients
CGH Medical Center CurrentSince Jan 31, 2023 Accepting new patients
SSM Health Care of Wisconsin, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Four Corners Community Behavioral Health, Inc. CurrentSince Aug 10, 2020 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Martin Luther King Jr Community Medical Foundation Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Tri-State Memorial Hospital Past Accepting new patients
Connectionswa, LLC PastSince May 4, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

2215 W Rosecrans Ave
Ste 22
Compton, CA 90222
Phone (424) 529-6755

12021 Wilmington Ave
Ste 1000
Los Angeles, CA 90059
Phone (424) 296-3976

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

1460 E Valley Rd
Ste 103
Basalt, CO 81621
Phone (970) 279-4111

7153 Solutions Ctr
Chicago, IL 60677

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

382 W Care Campus Dr
Moab, UT 84532
Phone (435) 719-3970

450 W Williams Way
Moab, UT 84532
Phone (435) 259-7191

198 E Center St
Moab, UT 84532
Phone (435) 259-2432

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

33501 1st Way S
Federal Way, WA 98003
Phone (253) 838-2400

12040 NE 128th St
#50
Kirkland, WA 98034
Phone (425) 899-1894

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

Interoperability endpoints

  • Direct secure messaging: lauren.prestdo.p1@direct.cfg.nextgenshare.com
  • FHIR API: https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 29

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.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1881012235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 EASY ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845323719",
            "telephone_number": "303-862-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 EASY ST",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845323719",
            "telephone_number": "303-862-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 S Chipeta Way",
            "address_2": "Room 1885",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841081222",
            "country_code": "US",
            "telephone_number": "801-581-4096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 Williams Way",
            "address_purpose": "LOCATION",
            "city": "Moab",
            "state": "UT",
            "postal_code": "845322185",
            "country_code": "US",
            "telephone_number": "435-719-3500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2160 S 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Maywood",
            "state": "IL",
            "postal_code": "601533328",
            "country_code": "US",
            "telephone_number": "708-783-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 Beam Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091126",
            "country_code": "US",
            "telephone_number": "612-672-2288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20201 Crawford Ave",
            "address_purpose": "LOCATION",
            "city": "Olympia Fields",
            "state": "IL",
            "postal_code": "604611010",
            "country_code": "US",
            "telephone_number": "219-866-5141",
            "fax_number": "708-679-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREST",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036162267",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "9838449-1204",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "72474",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lprest232484@direct.luhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moab, UT

Sources for this page

Verify at the official NPI Registry.