Individual provider Active NPI

Lauren Barrera Judkins, FNP-C

  • Family Nurse Practitioner
  • Fairview, TN
National Provider Identifier
1699225367
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21893 Issued in TN
Practice address
2377 Fairview Blvd
Fairview, TN 37062-6003
Phone
(615) 799-0101
NPI assigned
Oct 6, 2016
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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 21893 TN Primary

Addresses

Primary practice location

2377 Fairview Blvd
Fairview, TN 37062-6003

Mailing address

5141 Virginia Way
Ste 390
Brentwood, TN 37027-9505
Phone (615) 933-7073

Other names 1

  • Lauren Ashley Barrera Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161115000127 TN Practitioner - Nurse Practitioner 1254610215 Reassigns benefits to 1 organization
I20230214002113 AL Practitioner - Nurse Practitioner 1254610215 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Express Med of Alabama LLC CurrentSince Jan 24, 2023 Accepting new patients
Express Med of Tennessee, LLC CurrentSince Jan 24, 2023 Accepting new patients
Shoals Pediatric Group PC Past Accepting new patients

Locations

970 Cox Creek Pkwy
Florence, AL 35633
Phone (256) 760-1655

726 N Locust Ave
Ste 1D
Lawrenceburg, TN 38464
Phone (931) 766-7056

538 N Military St
Ste D
Loretto, TN 38469
Phone (931) 853-5356

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1699225367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY",
            "address_2": "STE 390",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370279505",
            "telephone_number": "615-933-7073",
            "fax_number": "615-988-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2377 FAIRVIEW BLVD",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370626003",
            "telephone_number": "615-799-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDKINS",
        "first_name": "LAUREN",
        "middle_name": "BARRERA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BARRERA",
            "middle_name": "ASHLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairview, TN

Sources for this page

Verify at the official NPI Registry.