Individual provider Active NPI

Laura Beasley Lockett, FNP

  • Nurse Practitioner
  • La Follette, TN
National Provider Identifier
1154360279
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
8105 Issued in TN
Practice address
923 E Central Ave
La Follette, TN 37766-2768
Phone
(423) 907-1200
Fax
(865) 291-3228
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 8105 TN Primary

Addresses

Primary practice location

923 E Central Ave
La Follette, TN 37766-2768

Mailing address

304 Wright St
Sweetwater, TN 37874-1181

Other identifiers 3

IdentifierTypeStateIssuer
P00295811OtherTNMEDICARE RAILROAD
78015559MedicaidKY
4057237OtherTNBCBS

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
I20060418000429 TN Practitioner - Nurse Practitioner 3173532231 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

304 Church St
Sweetwater, TN 37874-1181
Phone (865) 213-8200

Hospital & facility affiliations

  • Sweetwater Hospital Association Hospital, Sweetwater, TN, CCN 440084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8105TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetwater Hospital Association Current Accepting new patients
Sweetwater Hospital Association CurrentSince Dec 8, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Sweetwater Hospital ER Physician Group CurrentSince Dec 8, 2019 Accepting new patients
Emergency Coverage Services, PC Nurse Practitioner Past Accepting new patients
Augusta University Past Accepting new patients
Sweetwater Hospital Association Nurse Practitioner Past Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

304 Church St
Sweetwater, TN 37874
Phone (865) 213-8200

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/sweet-8feb766f

Organizations & group practices 7

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 1

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1154360279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WRIGHT ST",
            "city": "SWEETWATER",
            "state": "TN",
            "postal_code": "378741181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 E CENTRAL AVE",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377662768",
            "telephone_number": "423-907-1200",
            "fax_number": "865-291-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "LAURA",
        "middle_name": "BEASLEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "8105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00295811",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78015559",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4057237",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Follette, TN

Sources for this page

Verify at the official NPI Registry.