Lanita Debord, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Oliver Springs, TN
NPI 1477075752 · NPPES record last updated May 28, 2023
Key facts
- NPI
- 1477075752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 22819 (TN)
- Practice address
- 705 Main St Ste 2
Oliver Springs, TN 37840-1761 - Phone
- (865) 280-1466
- Fax
- (865) 280-1469
- NPI assigned
- Jul 8, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181130002734 | TN | Practitioner - Nurse Practitioner | 1456695428 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pointe Medical PLLC | Family | Current |
Accepting new patients |
Locations
401 Devonia St
Harriman, TN 37748
Phone (865) 280-1466
705 Main St
Ste 2
Oliver Springs, TN 37840
Phone (865) 280-1466
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 22819 | TN | Yes |
Addresses
Primary practice location
705 Main St Ste 2
Oliver Springs, TN 37840-1761
Mailing address
705 Main St Ste 2
Oliver Springs, TN 37840-1761
Phone (865) 280-1466
Other providers in Oliver Springs, TN
- Brooke Carlson
- Chancey Lynn Cashmore
- Rachel Chandler
- Martha Marie Cox
- Troyal Lynn Craig
- Family Healthcare Clinic LLC
- Food City
- Gretchen W Foster
- Edgar Tyrone Fritz
- Candace Christina Fung
All providers in Oliver Springs, TN · Family 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 May 28, 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.