Individual provider Active NPI

Lacey Nichole Slatton, FNP-C

  • Family Nurse Practitioner
  • McMinnville, TN
National Provider Identifier
1477857084
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000035742 Issued in TN
Practice address
306 N Chancery St
McMinnville, TN 37110-2048
Phone
(931) 474-4700
NPI assigned
Dec 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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 APN0000035742 TN Primary

Addresses

Primary practice location

306 N Chancery St
McMinnville, TN 37110-2048

Mailing address

2131 Crisp Springs Rd
McMinnville, TN 37110-5245
Phone (931) 743-9188

Other practice location 1

207 Oak Park
McMinnville, TN 37110-1336
Phone (931) 474-4000

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
I20240531002385 TN Practitioner - Nurse Practitioner 5698117950 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Wellness LLCGroup PAC ID 2365820586, 13 clinicians
Family Care Clinic LLCGroup PAC ID 8729225677, 13 clinicians

Practice addresses (Care Compare)

207 Oak Park
McMinnville, TN 37110-1336
Phone (931) 474-4000

306 N Chancery St
McMinnville, TN 37110-2048
Phone (931) 474-4700

Hospital & facility affiliations

  • Saint Thomas River Park Hospital Hospital, McMinnville, TN, CCN 440151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000035742TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Wellness LLC Family CurrentSince Mar 12, 2024 Accepting new patients
Family Care Clinic LLC Family CurrentSince Mar 12, 2024 Accepting new patients
Surgeons Preference, Inc. Past Accepting new patients

Locations

306 N Chancery St
McMinnville, TN 37110
Phone (931) 474-4700

207 Oak Park
McMinnville, TN 37110
Phone (931) 474-4000

Organizations & group practices 3

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 2

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": "1293062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1477857084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 CRISP SPRINGS RD",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371105245",
            "telephone_number": "931-743-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CHANCERY ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371102048",
            "telephone_number": "931-474-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 Oak Park",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "TN",
            "postal_code": "371101336",
            "country_code": "US",
            "telephone_number": "931-474-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLATTON",
        "first_name": "LACEY",
        "middle_name": "NICHOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-23",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000035742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McMinnville, TN

Sources for this page

Verify at the official NPI Registry.