NPIMap

Individual provider Active NPI

Lauren Ashley Ray-Villalobos

  • Family Nurse Practitioner
  • Barnwell, SC
National Provider Identifier
1942834528
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24200 Issued in SC
Practice address
86 Wren St
Barnwell, SC 29812-1529
Phone
(803) 259-5762
NPI assigned
Feb 24, 2020
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24200 SC Primary

Addresses

Primary practice location

86 Wren St
Barnwell, SC 29812-1529

Mailing address

86 Wren St
Barnwell, SC 29812-1529
Phone (803) 259-5762

Other identifiers 3

IdentifierTypeStateIssuer
24200OtherSCMEDICAL LICENSE
SCI939OtherSCMEDICARE
NP7097MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103001386 SC Practitioner - Nurse Practitioner 5991115909 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Low Country Health Care System IncGroup PAC ID 4284530940, shared by 10 NPIs, 33 clinicians

Practice addresses (Care Compare)

10706 Marlboro Ave
Barnwell, SC 29812-6376
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812-1527
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817-2426
Phone (803) 284-1045

185 McGee St
Bamberg, SC 29003-1154
Phone (803) 956-6100

333 Revolutionary TRL
Fairfax, SC 29827-7109
Phone (803) 632-2533

526 N St
Bamberg, SC 29003-1319
Phone (803) 245-2433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc. CurrentSince Sep 11, 2020 Accepting new patients
Low Country Health Care System, Inc. CurrentSince Sep 11, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince Sep 11, 2020 Accepting new patients
Low Country Health Care System, Inc Current Accepting new patients
Low Country Health Care System, Inc CurrentSince Sep 11, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince Sep 11, 2020 Accepting new patients
Low Country Health Care System, Inc CurrentSince Sep 11, 2020 Accepting new patients

Locations

185 McGee St
Bamberg, SC 29003
Phone (803) 245-4327

526 North St
Bamberg, SC 29003
Phone (803) 245-2433

10706 Marlboro Ave
Barnwell, SC 29812
Phone (803) 259-7337

124 Wren St
Barnwell, SC 29812
Phone (803) 254-3278

86 Wren St
Barnwell, SC 29812
Phone (803) 259-5762

130 Baker St N
Blackville, SC 29817
Phone (803) 284-1045

333 Revolutionary Trl
Fairfax, SC 29827
Phone (803) 632-2533

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1942834528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 WREN ST",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298121529",
            "telephone_number": "803-259-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY-VILLALOBOS",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "24200",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SCI939",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP7097",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

Verify at the official NPI Registry.