Individual provider Active NPI

Jennifer C Laws, FNP-BC

  • Family Nurse Practitioner
  • Lewisburg, TN
National Provider Identifier
1184098147
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20568 Issued in TN
Practice address
335 1St Ave N
Lewisburg, TN 37091-2826
Phone
(931) 270-0050
Fax
(931) 388-9540
NPI assigned
Nov 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 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 20568 TN Primary

Addresses

Primary practice location

335 1St Ave N
Lewisburg, TN 37091-2826

Mailing address

335 1St Ave N
Lewisburg, TN 37091-2826
Phone (931) 270-0050

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
I20151215001810 TN Practitioner - Nurse Practitioner 5395046429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

335 1St Ave N
Lewisburg, TN 37091-2826
Phone (931) 270-0050

Hospital & facility affiliations

  • Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20568TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
JCL Express Walk-in Clinic, LLC CurrentSince Sep 12, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 8, 2017 Accepting new patients
Mid-South Gastroenterology Assoc PC CurrentSince Dec 10, 2015 Accepting new patients
Mid-South Gastroenterology Assoc PC CurrentSince Dec 10, 2015 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 8, 2017 Accepting new patients

Locations

1222 Trotwood Ave
Ste 501
Columbia, TN 38401
Phone (931) 388-8302

335 1st Ave N
Lewisburg, TN 37091
Phone (931) 270-0050

811 N Main St
Mt Pleasant, TN 38474
Phone (931) 379-3229

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 3

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1184098147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 1ST AVE N",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912826",
            "telephone_number": "931-270-0050",
            "fax_number": "931-270-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 1ST AVE N",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912826",
            "telephone_number": "931-270-0050",
            "fax_number": "931-388-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWS",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

Verify at the official NPI Registry.