Lauren Walliser, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN276337 Issued in GA

Practice address

9380 Bradmore LN
Ooltewah, TN 37363-4446

Phone

(423) 760-4630

NPI assigned

Aug 8, 2018

Last updated

Aug 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Walliser Medical Center LLC

  dba Sentef Medical Center

  • Family Medicine Physician
  • Ooltewah, TN
  • NPI 1538958574
  Medicare reassignment NPD Authorized official
• Sentef Medical Center

  • Clinic/Center
  • Ooltewah, TN
  • NPI 1043418742
  Medicare reassignment NPD
• Liberty Healthcare Partners

  • General Practice Physician
  • Chattanooga, TN
  • NPI 1003529280
  NPD (past)

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

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1023597341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9380 BRADMORE LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9380 BRADMORE LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634446",
            "telephone_number": "423-760-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLISER",
        "first_name": "LAUREN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN276337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Rite Aid #11902)
• Walgreen Co (Walgreens #11160)
• Jennifer Lindsay Walker, PTA
• Tracy Dean Walker, DDS MS
• Walliser Medical Center LLC (Sentef Medical Center)
• Emily Warden, DPT
• Karen Marie Wathen, RN
• Rachel Burchell Webb, MS, NP-C
• Virginia Weir
• Brandon Weldy, PHARM,D

• Nurse Practitioner in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.