Marjorie N Lunsford, RNC, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN5598 Issued in TN

Practice address

4261 Big Creek Rd
Hartford, TN 37753-2220

Phone

(423) 487-2240

Fax

(423) 487-3707

NPI assigned

Jan 26, 2006

Last updated

Oct 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1508836818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 BIG CREEK RD",
            "city": "HARTFORD",
            "state": "TN",
            "postal_code": "377532220",
            "telephone_number": "423-487-2240",
            "fax_number": "423-487-3707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 BIG CREEK RD",
            "city": "HARTFORD",
            "state": "TN",
            "postal_code": "377532220",
            "telephone_number": "423-487-2240",
            "fax_number": "423-487-3707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNSFORD",
        "first_name": "MARJORIE",
        "middle_name": "N",
        "credential": "RNC, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN5598",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN53243",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP TENNCARE",
            "identifier": "100010532",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE-GRASSY FORK",
            "identifier": "3032441",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3343881",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3032442",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard F Connelly, RNC, FNP
• John D Lynch II, M.D.
• Rural Medical Services, Inc.

• Nurse Practitioner in Hartford, TN
• Providers in Hartford, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.