Laura West
Individual provider Active NPI Primary Care Nurse Practitioner · Newbern, TN
NPI 1376932830 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1376932830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 19597 (TN)
- Practice address
- 100 E Highway 77
Newbern, TN 38059-1169 - Phone
- (731) 627-3553
- Fax
- (731) 882-1256
- NPI assigned
- Jan 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 6
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- West Family Care Clinic PLLC
Practice addresses (Care Compare)
100 E Hwy 77
Newbern, TN 38059-1169
Phone (731) 627-3553
Hospital & facility affiliations
- Extendicare Home Health of West TN
- Amedisys Home Health Care
- Volunteer Home Care
- Dyersburg Regional Medical Center
- Jackson-Madison County General Hospital
- Baptist Memorial Hospital Union City
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| West Family Care Clinic PLLC |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Corporate Officer (100%) |
Aug 1, 2022 Aug 1, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151230002747 | TN | Practitioner - Nurse Practitioner | 9638496151 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Family Care Clinic PLLC | Current |
Accepting new patients | |
| Memphis Radiological, PC | Past |
Accepting new patients |
Locations
108 East Dr
Newbern, TN 38059
Phone (731) 285-6600
100 E Highway 77
Newbern, TN 38059
Phone (731) 627-3553
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 19597 | TN | Yes |
Addresses
Primary practice location
100 E Highway 77
Newbern, TN 38059-1169
Mailing address
100 E Highway 77
Newbern, TN 38059-1169
Phone (731) 627-3553
Other providers in Newbern, TN
- Presley Diabetes and Endocrine Center, PLLC
- Kagan Marie Qualls
- Logan J Rummells
- Wanda Faye Smith
- West Family Care Clinic PLLC
All providers in Newbern, TN · Primary Care Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.