Individual provider Active NPI

Hannah Betke Lawrence, PA

  • Medical Physician Assistant
  • Hendersonville, TN
National Provider Identifier
1790210508
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4059 Issued in TN
Practice address
501 Saundersville Rd
Hendersonville, TN 37075-1588
Phone
(615) 265-5000
NPI assigned
Apr 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4059 TN Primary

Addresses

Primary practice location

501 Saundersville Rd
Hendersonville, TN 37075-1588

Mailing address

253 W Main St
Gallatin, TN 37066-3290

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
I20200410002320 TN Practitioner - Physician Assistant 4688940497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Style Weight Loss LLCGroup PAC ID 1951750595, 5 clinicians

Practice addresses (Care Compare)

355 New Shackle Island Rd
Suite 128B
Hendersonville, TN 37075-2399
Phone (615) 492-6116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
54869CAMDDentist
4059TNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Tennessee Style Weight Loss LLC CurrentSince Jan 27, 2026 Accepting new patients

Locations

355 New Shackle Island Rd
Ste 128B
Hendersonvlle, TN 37075
Phone (309) 229-4338

Interoperability endpoints

  • Direct secure messaging: hannah.betke.lawrence.1@29753.direct.athenahealth.com
  • Direct secure messaging: hannah.betke.p1@direct.toa.nextgenshare.com
  • Direct secure messaging: hannah.betke.p3@direct.toa.nextgenshare.com

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": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1790210508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 W MAIN ST",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370663290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SAUNDERSVILLE RD",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370751588",
            "telephone_number": "615-265-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETKE LAWRENCE",
        "first_name": "HANNAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

Verify at the official NPI Registry.