Individual provider Active NPI

Lauren Palmore Worthey, FNP-BC

  • Family Nurse Practitioner
  • White House, TN
National Provider Identifier
1740584317
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15467 Issued in TN
Practice address
491 Sage Rd N
Suite 200
White House, TN 37188-9360
Phone
(615) 672-7122
NPI assigned
Dec 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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 15467 TN Primary

Addresses

Primary practice location

491 Sage Rd N
Suite 200
White House, TN 37188-9360

Mailing address

491 Sage Rd N
Suite 200
White House, TN 37188-9360
Phone (615) 672-7122

Other names 1

  • Ms. Lauren Elizabeth Palmore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110223000474 TN Practitioner - Nurse Practitioner 4981885019 Reassigns benefits to 1 organization
I20231013001806 TX Practitioner - Nurse Practitioner 4981885019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15467TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Medical Group, PLLC CurrentSince Jan 1, 2011 Accepting new patients

Locations

491 Sage Rd N
Ste 200
White House, TN 37188
Phone (615) 581-5925

Organizations & group practices 1

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1740584317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 SAGE RD N",
            "address_2": "SUITE 200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889360",
            "telephone_number": "615-672-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 SAGE RD N",
            "address_2": "SUITE 200",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "371889360",
            "telephone_number": "615-672-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEY",
        "first_name": "LAUREN",
        "middle_name": "PALMORE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "PALMORE",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in White House, TN

Sources for this page

Verify at the official NPI Registry.