Lauren Barrera Judkins, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Fairview, TN
NPI 1699225367 · NPPES record last updated Nov 3, 2016
Key facts
- NPI
- 1699225367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 21893 (TN)
- Practice address
- 2377 Fairview Blvd
Fairview, TN 37062-6003 - Phone
- (615) 799-0101
- NPI assigned
- Oct 6, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21893 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Express Med of Alabama LLC | Current |
Accepting new patients | |
| Express Med of Tennessee, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21893 | TN | Yes |
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
- Lauren Ashley Barrera
Other providers in Fairview, TN
- Donald Hoyle
- Richard Lynn Jackson Jr.
- JMS Enterprises, Inc
- Sandra Sue Jones
- JSB Services, LLC
- Kayla Carr DMD MSD PLLC
- Sherry J Kelly
- Key Chiropractic PLLC
- Alan Killingsworth
- King Family Dental PLLC
All providers in Fairview, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.