Individual provider Active NPI

Lauryn Murphy Zastoupil, FNP-C

  • Family Nurse Practitioner
  • Powell, TN
National Provider Identifier
1114495322
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018040092 Issued in MO
Practice address
201 E Emory Rd
Powell, TN 37849-4016
Phone
(865) 938-3627
Fax
(833) 908-2166
NPI assigned
Nov 6, 2018
Reactivated
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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 2018040092 MO Primary

Addresses

Primary practice location

201 E Emory Rd
Powell, TN 37849-4016

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

550 S Hudson Ave
Aurora, MO 65605-2362
Phone (417) 678-5176

Other names 1

  • Miss Lauryn Murphy Young 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
I20230320000452 TN Practitioner - Nurse Practitioner 8022352020 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32932TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center, PLLC CurrentSince Oct 16, 2023 Accepting new patients

Locations

11217 W Point Dr
Ste 2
Knoxville, TN 37934
Phone (865) 675-4243

Organizations & group practices 1

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1114495322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747",
            "fax_number": "833-908-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E EMORY RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494016",
            "telephone_number": "865-938-3627",
            "fax_number": "833-908-2166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Hudson Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "MO",
            "postal_code": "656052362",
            "country_code": "US",
            "telephone_number": "417-678-5176",
            "fax_number": "417-678-0675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZASTOUPIL",
        "first_name": "LAURYN",
        "middle_name": "MURPHY",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-06",
        "last_updated": "2023-11-03",
        "certification_date": "2023-08-23",
        "deactivation_date": "2023-10-31",
        "reactivation_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018040092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURYN",
            "last_name": "YOUNG",
            "middle_name": "MURPHY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Powell, TN

Sources for this page

Verify at the official NPI Registry.