Active NPI
Laurie Elizabeth Bates
- Family Nurse Practitioner
- Columbia, TN
National Provider Identifier
1477067429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 22694
- Practice address
- 854 W James Campbell Blvd
Suite 100
Columbia, TN 38401 - Phone
- (931) 490-7050
- NPI assigned
- Nov 29, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22694 | TN | Primary |
Addresses
Primary practice location
854 W James Campbell Blvd
Suite 100
Columbia, TN 38401
Mailing address
854 W James Campbell Blvd
Suite 100
Columbia, TN 38401
Phone (931) 490-7050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1477067429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "854 W JAMES CAMPBELL BLVD",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-490-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "854 W JAMES CAMPBELL BLVD",
"address_2": "SUITE 100",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "38401",
"telephone_number": "931-490-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATES",
"first_name": "LAURIE",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-29",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "22694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.