Active NPI
Lauren Diatte, MD
- Pediatrics Physician
- Antioch, TN
National Provider Identifier
1649624537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 63828
- Practice address
- 590 Benzing Rd
Antioch, TN 37013-4139 - Phone
- (615) 988-2340
- NPI assigned
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A150988 | CA | |
| Pediatrics Physician | 208000000X | 63828 | TN | Primary |
Addresses
Primary practice location
590 Benzing Rd
Antioch, TN 37013-4139
Mailing address
590 Benzing Rd
Antioch, TN 37013-4139
Phone (615) 988-2340
Other practice location 1
101 E Redlands Blvd Ste 106
Redlands, CA 92373-4723
Phone (909) 792-8866
Other practice location 2
11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-8000
Other names 1
- Lauren Caradonna
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A150988 | CA | MD | Pediatrics Physician |
| 63828 | TN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Pediatric Providers, LLC | Past | Accepting new patients |
Interoperability endpoints
- lcaradonna72457@direct.llu.edu
Organizations & group practices 1
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.
-
- Pediatric Nurse Practitioner
- Nashville, TN
- NPI 1992144380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707696000000",
"number": "1649624537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 BENZING RD",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370134139",
"telephone_number": "615-988-2340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 BENZING RD",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370134139",
"telephone_number": "615-988-2340"
}
],
"practiceLocations": [
{
"address_1": "101 E Redlands Blvd Ste 106",
"address_purpose": "LOCATION",
"city": "Redlands",
"state": "CA",
"postal_code": "923734723",
"country_code": "US",
"telephone_number": "909-792-8866",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11234 Anderson St",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923542804",
"country_code": "US",
"telephone_number": "909-558-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIATTE",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2024-02-12",
"certification_date": "2024-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A150988",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "63828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "CARADONNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Antioch, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.