Lavinia Austin, NURSE PRACTITIONER
Individual provider Active NPI Family Nurse Practitioner · Lafayette, TN
NPI 1801468509 · NPPES record last updated Jul 13, 2021
Key facts
- NPI
- 1801468509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 29635 (TN)
- Practice address
- 207 W Locust St
Lafayette, TN 37083-1710 - Phone
- (615) 666-6425
- NPI assigned
- Jul 13, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Fast Pace Medical Clinic PLLC
Hometown Healthcare
Practice addresses (Care Compare)
502 Ellington Dr
Lafayette, TN 37083-1697
Phone (615) 561-1042
602 Red Boiling Springs Rd
Lafayette, TN 37083-1316
Phone (615) 688-9500
Hospital & facility affiliations
- Macon Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210830003347 | TN | Practitioner - Nurse Practitioner | 8820340979 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Hometown Healthcare | Family | Current |
Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients |
Locations
7348 E Brainerd Rd
Chattanooga, TN 37421
Phone (205) 822-8038
502 Ellington Dr
Lafayette, TN 37083
Phone (615) 561-1042
602 Red Boiling Springs Rd
Lafayette, TN 37083
Phone (615) 237-5410
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 29635 | TN | Yes |
Addresses
Primary practice location
207 W Locust St
Lafayette, TN 37083-1710
Mailing address
5737 Union Camp Rd
Lafayette, TN 37083-3718
Phone (615) 633-6867
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29635 | Other | TN | APRN LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EMR |
Other providers in Lafayette, TN
- Advanced Diagnostic Imaging PC
- Air Evac EMS Inc
- Kim Allen
- Alpha Medical Associates, Inc
- Armadillo Medical Services, P.C.
- Ballou Pharmaceutical Services Inc
- Angela Kay Ballou
- Joseph L Bentley
- Kim L Biggs
- Misty Dawn Biles
All providers in Lafayette, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.