Individual provider Active NPI

Lori Leanne Watson

  • Psychiatric/Mental Health Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1356848196
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
23429 Issued in TN
Practice address
2216 Sassafras Dr
Murfreesboro, TN 37128-5661
Phone
(615) 631-0827
NPI assigned
Apr 9, 2018
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 23429 TN Primary
Registered Nurse 163W00000X 172012 TN

Addresses

Primary practice location

2216 Sassafras Dr
Murfreesboro, TN 37128-5661

Mailing address

2216 Sassafras Dr
Murfreesboro, TN 37128-5661

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
I20190501000231 TN Practitioner - Nurse Practitioner 1759623325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustpoint Hospital LLCGroup PAC ID 8325295280, 22 clinicians

Practice addresses (Care Compare)

1009 N Thompson LN
Murfreesboro, TN 37129-4351
Phone (615) 867-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172012TNMDRegistered Nurse
23429TNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustpoint Hospital LLC CurrentSince Jan 12, 2019 Accepting new patients
Trustpoint Hospital LLC Psychiatric/Mental Health CurrentSince Jan 12, 2019 Accepting new patients
Lindsay Keith MD PLLC CurrentSince May 5, 2023 Accepting new patients

Locations

1009 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 257-5601

1830 Heritage Park Plz
Murfreesboro, TN 37129
Phone (615) 895-8104

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIBDD

Organizations & group practices 3

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": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1356848196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 SASSAFRAS DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 SASSAFRAS DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285661",
            "telephone_number": "615-631-0827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "LORI",
        "middle_name": "LEANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "23429",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "172012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.