Individual provider Active NPI

Lauren Dillard

  • Family Nurse Practitioner
  • Cottontown, TN
National Provider Identifier
1023676905
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25897 Issued in TN
Practice address
4646 Highway 31 W
Cottontown, TN 37048-4852
Phone
(615) 294-2939
NPI assigned
Jun 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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 25897 TN Primary

Addresses

Primary practice location

4646 Highway 31 W
Cottontown, TN 37048-4852

Mailing address

4646 Highway 31 W
Cottontown, TN 37048-4852
Phone (615) 294-2939

Other names 1

  • Lauren Bushey Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20211105000397 TN Practitioner - Nurse Practitioner 9931598356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of Tennessee PCGroup PAC ID 3072849637, 42 clinicians

Practice addresses (Care Compare)

4007 Lebanon Pike
Hermitage, TN 37076-2013
Phone (615) 367-1444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Tennessee LLC Family CurrentSince Oct 29, 2021 Accepting new patients
Ivxpress Inc PastSince Feb 13, 2023 Accepting new patients

Locations

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

510 Highway 76
White House, TN 37188
Phone (615) 581-5089

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1023676905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 HIGHWAY 31 W",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370484852",
            "telephone_number": "615-294-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 HIGHWAY 31 W",
            "city": "COTTONTOWN",
            "state": "TN",
            "postal_code": "370484852",
            "telephone_number": "615-294-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "LAUREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BUSHEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cottontown, TN

Sources for this page

Verify at the official NPI Registry.