Lynette A Womble, APRN, BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10762 Issued in TN

Practice address

704 N Jefferson St
Shelbyville, TN 37160-3424

Phone

(931) 685-9277

Fax

(931) 685-9244

NPI assigned

Nov 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sharon L. Womble Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CDEEAA/Endpoint/CDEEAA

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.

• Womble Healthcare

  • Family Nurse Practitioner
  • Shelbyville, TN
  • NPI 1972903375
  NPD (past) Authorized official

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

{
    "created_epoch": "1195344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1669653663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 N JEFFERSON ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603424",
            "telephone_number": "931-685-9277",
            "fax_number": "931-685-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 N JEFFERSON ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603424",
            "telephone_number": "931-685-9277",
            "fax_number": "931-685-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "LYNETTE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-18",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "10762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "WOMBLE",
            "middle_name": "L.",
            "credential": "APRN, BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• William Carlyle Johnson (Riverside Medical Pharmacy)
• Janell Chunn Williams
• Ashley Michelle Wiseman
• Brian Wittenberg
• Womble Healthcare
• Kelsey Dennis Wright, FNP-C
• Carmon York
• James Tripp York, PHARM D
• Cassey Young, DDS
• Kimberly Young

• Family Nurse Practitioner in Shelbyville, TN
• Providers in Shelbyville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.