Provider Demographics
NPI:1063915668
Name:FOREMAN, LAUREN (CNM, PMHNP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:FOREMAN
Suffix:
Gender:
Credentials:CNM, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13359 N HIGHWAY 183 STE 406-620
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-7153
Mailing Address - Country:US
Mailing Address - Phone:443-553-3082
Mailing Address - Fax:
Practice Address - Street 1:3600 W PARMER LN STE 108
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-4111
Practice Address - Country:US
Practice Address - Phone:512-368-9370
Practice Address - Fax:512-377-9300
Is Sole Proprietor?:No
Enumeration Date:2018-03-10
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35438363LP0808X
TX1011264367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1011264OtherPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER
TX1011264OtherCERTIFIED NURSE MIDWIFE
TN35438OtherPSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER