Individual provider Active NPI

Lauren Sweeney Koncul, NP

  • Family Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1992209217
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN164938 Issued in GA
Practice address
3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785
Phone
(912) 429-6922
NPI assigned
Mar 21, 2018
Last updated
Mar 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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 RN164938 GA Primary

Addresses

Primary practice location

3025 Shrine Rd Ste 270
Brunswick, GA 31520-4785

Mailing address

105 Shore Rush Dr
St Simons Island, GA 31522-1422
Phone (912) 429-6922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN164938GAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521590400000",
    "number": "1992209217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SHORE RUSH DR",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315221422",
            "telephone_number": "912-429-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 SHRINE RD STE 270",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204785",
            "telephone_number": "912-429-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONCUL",
        "first_name": "LAUREN",
        "middle_name": "SWEENEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN164938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.