Individual provider Active NPI

Lauren Elizabeth Butler, APRN

  • Family Nurse Practitioner
  • Newbern, TN
National Provider Identifier
1720548282
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26005 Issued in TN
Practice address
100 E Highway 77
Newbern, TN 38059-1169
Phone
(731) 627-3553
Fax
(731) 882-1256
NPI assigned
Mar 21, 2019
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 176361 TN
Family Nurse Practitioner 363LF0000X 26005 TN Primary

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

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021001786 TN Practitioner - Nurse Practitioner 4789916982 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176361TNMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Family Medicine, LLC CurrentSince Aug 14, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2019 Accepting new patients
Dyersburg Family Walk-in Clinic LLC CurrentSince Jan 1, 2026 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2019 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 1, 2026 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Dec 22, 2021 Accepting new patients
Crossroads Urgent Care PLLC Family CurrentSince Dec 22, 2021 Accepting new patients
Upperline Healthcare, PC CurrentSince Jan 1, 2026 Accepting new patients
Specialty Physician Group LLC Family Past Accepting new patients
Independent Radiology Associates PLC PastSince Jan 1, 2026 Accepting new patients
Memphis Radiological, PC PastSince Sep 26, 2022 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

Organizations & group practices 11

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": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1720548282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HIGHWAY 77",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591169",
            "telephone_number": "731-627-3553",
            "fax_number": "731-882-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HIGHWAY 77",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591169",
            "telephone_number": "731-627-3553",
            "fax_number": "731-882-1256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Maupin Rd",
            "address_purpose": "LOCATION",
            "city": "Newbern",
            "state": "TN",
            "postal_code": "380595054",
            "country_code": "US",
            "telephone_number": "731-676-4125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "TN",
            "postal_code": "380634580",
            "country_code": "US",
            "telephone_number": "731-635-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TN",
            "license": "176361",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbern, TN

Sources for this page

Verify at the official NPI Registry.