Individual provider Active NPI

Lauri Michelle Gingerich, CPNP

  • Pediatric Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1346718020
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
25413 Issued in TN
Practice address
2100 W Clinch Ave
Knoxville, TN 37916-2219
Phone
(865) 637-7920
NPI assigned
Nov 11, 2018
Last updated
Jan 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 25413 TN Primary

Addresses

Primary practice location

2100 W Clinch Ave
Knoxville, TN 37916-2219

Mailing address

405 Hialeah Dr
Knoxville, TN 37920-5007
Phone (574) 536-6312

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
I20190409001798 TN Practitioner - Nurse Practitioner 9830430453 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25413TNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Pediatric Urology, PC CurrentSince Feb 1, 2019 Accepting new patients
Nashville Pediatric Urology, PC PastSince Feb 1, 2019 Accepting new patients

Locations

2100 Clinch Ave
Ste 120
Knoxville, TN 37916
Phone (865) 637-7290

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1541894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1346718020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 HIALEAH DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205007",
            "telephone_number": "574-536-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W CLINCH AVE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379162219",
            "telephone_number": "865-637-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGERICH",
        "first_name": "LAURI",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-11",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "25413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.