Active NPI
Lauren K Rainbolt, FNP
- Family Nurse Practitioner
- Germantown, TN
National Provider Identifier
1619439601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 24211
- Practice address
- 8060 Wolf River Blvd
Germantown, TN 38138-1727 - Phone
- (901) 271-1000
- Fax
- (901) 271-4187
- NPI assigned
- Apr 1, 2019
- 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 | 24211 | TN | Primary |
Addresses
Primary practice location
8060 Wolf River Blvd
Germantown, TN 38138-1727
Mailing address
8060 Wolf River Blvd
Germantown, TN 38138-1727
Phone (901) 271-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192115 | Other | TN | TN RN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24211 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1619439601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381727",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8060 WOLF RIVER BLVD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381381727",
"telephone_number": "901-271-1000",
"fax_number": "901-271-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINBOLT",
"first_name": "LAUREN",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "24211",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN RN",
"identifier": "192115",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.