Lauren Elizabeth Butler, APRN
Individual provider Active NPI Family Nurse Practitioner · Newbern, TN
NPI 1720548282 · NPPES record last updated Dec 21, 2023
Key facts
- NPI
- 1720548282
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26005 (TN)
- Practice address
- 100 E Highway 77
Newbern, TN 38059-1169 - Phone
- (731) 627-3553
- Fax
- (731) 882-1256
- NPI assigned
- Mar 21, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20191021001786 | TN | Practitioner - Nurse Practitioner | 4789916982 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 176361 | TN | MD | Emergency Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crossroads Urgent Care PLLC | Family | Current |
Accepting new patients |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Dyersburg Family Walk-in Clinic LLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Christian Family Medicine, LLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Crossroads Urgent Care PLLC | Family | Current |
Accepting new patients |
| Specialty Physician Group LLC | Family | Past | Accepting new patients |
| Independent Radiology Associates PLC | Past |
Accepting new patients | |
| Memphis Radiological, PC | Past |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
1954 Saint John Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-6110
2017 Saint John Ave
Ste B
Dyersburg, TN 38024
Phone (731) 285-6110
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014
79 Highway 51 S
Ripley, TN 38063
Phone (731) 635-8189
3980 State Route 21 E
Tiptonville, TN 38079
Phone (731) 623-7500
1516 E Reelfoot Ave
Union City, TN 38261
Phone (731) 886-8662
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 176361 | TN | |
| Family Nurse Practitioner | 363LF0000X | 26005 | TN | Yes |
Addresses
Primary practice location
100 E Highway 77
Newbern, TN 38059-1169
Mailing address
100 E Highway 77
Newbern, TN 38059-1169
Phone (731) 627-3553
Other practice location 1
620 Maupin Rd
Newbern, TN 38059-5054
Phone (731) 676-4125
Other practice location 2
79 Highway 51 S
Ripley, TN 38063-4580
Phone (731) 635-8189
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176361 | Other | TN | TENNESSEE STATE BOARD OF NURSING |
Other providers in Newbern, TN
All providers in Newbern, 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 Dec 21, 2023. 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.