Active NPI
Lauren Taylor Shores, APRN
- Family Nurse Practitioner
- Tullahoma, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 35679
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Definite Wellness | Current | Accepting new patients | |
| Openloop Healthcare Partners PC | Current | 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.
-
- Nurse Practitioner
- Tullahoma, TN
- NPI 1285279265
-
- Nurse Practitioner
- Memphis, TN
- NPI 1790839405
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.