Individual provider Active NPI

Dennetria Wilmore

  • Family Nurse Practitioner
  • Lafayette, TN
National Provider Identifier
1437063575
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07260739 Issued in TN
Practice address
5151 Highway 52 W
Lafayette, TN 37083-3274
Phone
(615) 388-9216
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07260739 TN Primary

Addresses

Primary practice location

5151 Highway 52 W
Lafayette, TN 37083-3274

Mailing address

5151 Highway 52 W
Lafayette, TN 37083-3274
Phone (615) 388-9216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1437063575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 HIGHWAY 52 W",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370833274",
            "telephone_number": "615-388-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 HIGHWAY 52 W",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370833274",
            "telephone_number": "615-388-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILMORE",
        "first_name": "DENNETRIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "F07260739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.