Individual provider Active NPI

Evelyn Lorraine Wright, APN-C

  • Family Health Clinical Nurse Specialist
  • Lawrenceburg, TN
National Provider Identifier
1376777508
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
14119 Issued in TN
Practice address
1276 1St Ave
Lawrenceburg, TN 38464-2762
Phone
(931) 766-7056
Fax
(931) 766-7057
NPI assigned
May 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 14119 TN Primary

Addresses

Primary practice location

1276 1St Ave
Lawrenceburg, TN 38464-2762

Mailing address

1276 1St Ave
Lawrenceburg, TN 38464-2762
Phone (931) 766-7056

Other identifiers 1

IdentifierTypeStateIssuer
14119OtherTNNURSE PRACTIONER LICENSE NUMBER

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
I20090702000442 TN Practitioner - Nurse Practitioner 3173674157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Med of Tennessee LLCGroup PAC ID 3971896754, 6 clinicians

Practice addresses (Care Compare)

538 N Military St
Loretto, TN 38469-1203
Phone (931) 853-5356

726 N Locust Ave
Lawrenceburg, TN 38464-2802
Phone (931) 244-7402

726 N Locust Ave
Lawrenceburg, TN 38464-2865
Phone 93176670565

Hospital & facility affiliations

  • NHC Homecare of Columbia Home health agency, Columbia, TN, CCN 447125
  • Southern Tennessee Regional Health System Lawrence Hospital, Lawrenceburg, TN, CCN 440175
  • Maury Regional Hospital Hospital, Columbia, TN, CCN 440073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14119TNMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Express Med, LLC Family Health Past Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1376777508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 1ST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642762",
            "telephone_number": "931-766-7056",
            "fax_number": "931-766-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 1ST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642762",
            "telephone_number": "931-766-7056",
            "fax_number": "931-766-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "EVELYN",
        "middle_name": "LORRAINE",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TN",
            "license": "14119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER LICENSE NUMBER",
            "identifier": "14119",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.