LAUREN NICOLE MAIN RN PMHNP-BC NPI 1205477510

NPI Information

NPI: 1205477510
Provider Name: LAUREN NICOLE MAIN, RN, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
805 N DICKINSON DR
RUSK, TX
ZIP 75785
Phone: (903) 683-3421
Get Directions

Lauren Nicole Main, RN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Rusk, TX. Lauren Nicole Main, RN, PMHNP-BC NPI is 1205477510. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

805 N DICKINSON DR
RUSK, TX
ZIP 75785-006
Phone: (903) 683-3421
Fax: (903) 683-7199

The NPI 1205477510 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/8/2019 and was last updated on 10/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP142014	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	769136	OTHER	TEXAS	REGISTERED NURSE
2	AP142014	OTHER	TEXAS	PSYCHIATRIC/MENTAL HEALTH NURSE PRACTITIONER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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