Individual provider Active NPI

Lauren Taylor Shores, APRN

  • Family Nurse Practitioner
  • Tullahoma, TN
National Provider Identifier
1720842016
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
35679 Issued in TN
Practice address
401 Wilson Ave
Tullahoma, TN 37388-3357
Phone
(931) 434-0439
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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 35679 TN Primary

Addresses

Primary practice location

401 Wilson Ave
Tullahoma, TN 37388-3357

Mailing address

401 Wilson Ave
Tullahoma, TN 37388-3357

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
I20250930003648 TN Practitioner - Nurse Practitioner 9830695758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

317 6TH Ave
Suite 400
Des Moines, IA 50309-4037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Definite Wellness CurrentSince Oct 27, 2024 Accepting new patients
Openloop Healthcare Partners PC CurrentSince Aug 1, 2025 Accepting new patients
Well Child Inc. Past Accepting new patients

Locations

2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

1 Westbrook Corporate Ctr
Ste 30
Westchester, IL 60154

801 E Douglas Ave
Fl 2ND
Wichita, KS 67202
Phone (316) 974-3161

650 Poydras St
Ste 1400
New Orleans, LA 70130
Phone (855) 235-2872

100 Chesterfield Business Pkwy
Fl 2
Chesterfield, MO 63005
Phone (314) 355-8585

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

401 Wilson Ave
Tullahoma, TN 37388
Phone (931) 434-0439

4500 Mercantile Plaza Dr
Fort Worth, TX 76137
Phone (214) 635-6412

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1720842016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WILSON AVE",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883357",
            "telephone_number": "931-434-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORES",
        "first_name": "LAUREN",
        "middle_name": "TAYLOR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "35679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

Verify at the official NPI Registry.