Active NPI
Laurin Revere Wheaton, ACNP
- Community Health Nurse Practitioner
- Franklin, TN
National Provider Identifier
1326283011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- License
- 13815
- Practice address
- 1009 Windcross CT
Franklin, TN 37067-2678 - Phone
- (615) 946-4519
- Fax
- (615) 658-5142
- NPI assigned
- Dec 9, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | 13815 | TN | Primary |
Addresses
Primary practice location
1009 Windcross CT
Franklin, TN 37067-2678
Mailing address
1009 Windcross CT
Franklin, TN 37067-2678
Phone (615) 946-4519
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1510016 | Other | TN | MCC-MEDICAID-TN |
| 1510016 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13815 | TN | MD | Community Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Hills Orthopaedic Consultants LLC | Multi-Specialty | Past | Accepting new patients |
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.
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1235269879
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1326283011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WINDCROSS CT",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672678",
"telephone_number": "615-946-4519",
"fax_number": "615-658-5142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1009 WINDCROSS CT",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370672678",
"telephone_number": "615-946-4519",
"fax_number": "615-658-5142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEATON",
"first_name": "LAURIN",
"middle_name": "REVERE",
"credential": "ACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-09",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": "TN",
"license": "13815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCC-MEDICAID-TN",
"identifier": "1510016",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1510016",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.