NPIMap

Individual provider Active NPI

Lori Shalane James, NP

  • Acute Care Nurse Practitioner
  • Columbia, TN
National Provider Identifier
1114065398
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
7903 Issued in TN
Practice address
1040 N James Campbell Blvd
Suite 101
Columbia, TN 38401-2756
Phone
(931) 388-8802
Fax
(931) 490-2292
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 7903 TN Primary

Addresses

Primary practice location

1040 N James Campbell Blvd
Suite 101
Columbia, TN 38401-2756

Mailing address

300 20TH Ave N Ste 403
Nashville, TN 37203-2131
Phone (931) 388-8802

Other practice location 1

4002 Sheddan Dr
Columbia, TN 38401-5039
Phone (931) 215-1111

Other identifiers 6

IdentifierTypeStateIssuer
4156856OtherTNBCBST
P01014353OtherTNRR MEDICARE
1507670MedicaidTN
3710089MedicaidTN
4315456OtherTNBLUE CROSS-BLUE SHIELD
39292091MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040622000364 TN Practitioner - Nurse Practitioner 5193700359 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Crockett, LLCGroup PAC ID 4789770199, 38 clinicians

Practice addresses (Care Compare)

2019 N Locust Ave
Lawrenceburg, TN 38464-2337
Phone (931) 762-1800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Crockett, LLC CurrentSince Apr 1, 2022 Accepting new patients
Saint Thomas Medical Partners CurrentSince Jan 1, 2012 Accepting new patients
Amg-Crockett, LLC CurrentSince Apr 1, 2022 Accepting new patients
Amg -Southern Tennessee LLC Past Accepting new patients
Amg-Crockett LLC Past Accepting new patients

Locations

1040 N James M Campbell Blvd
Ste 101
Columbia, TN 38401
Phone (931) 388-8802

2019 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 762-1800

4955 Highway 43 N
#D
Mt Pleasant, TN 38474
Phone (931) 964-0849

4955D Highway 43 N
Mt Pleasant, TN 38474
Phone (931) 964-0849

300 20th Ave N
Fl 9
Nashville, TN 37203

501 Great Circle Rd
Ste 200
Nashville, TN 37228
Phone (615) 396-4694

300 20th Ave N
Ste 403
Nashville, TN 37203
Phone (615) 284-4088

1275 E College St
Ste 2
Pulaski, TN 38478
Phone (931) 363-3514

Interoperability endpoints

  • Direct secure messaging: lori.james.1@19363.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114065398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 403",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032131",
            "telephone_number": "931-388-8802",
            "fax_number": "931-490-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 N JAMES CAMPBELL BLVD",
            "address_2": "SUITE 101",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012756",
            "telephone_number": "931-388-8802",
            "fax_number": "931-490-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4002 Sheddan Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384015039",
            "country_code": "US",
            "telephone_number": "931-215-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMES",
        "first_name": "LORI",
        "middle_name": "SHALANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "7903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4156856",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01014353",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1507670",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE SHIELD",
            "identifier": "4315456",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39292091",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.