Individual provider Active NPI

Lavinia Austin, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lafayette, TN
National Provider Identifier
1801468509
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29635 Issued in TN
Practice address
207 W Locust St
Lafayette, TN 37083-1710
Phone
(615) 666-6425
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 29635 TN Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EMR

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
I20210830003347 TN Practitioner - Nurse Practitioner 8820340979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians
Hometown HealthcareGroup PAC ID 4587974647, 2 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29635TNMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 12, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 12, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Hometown Healthcare Family CurrentSince Jan 1, 2025 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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1801468509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5737 UNION CAMP RD",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370833718",
            "telephone_number": "615-633-6867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W LOCUST ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831710",
            "telephone_number": "615-666-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "LAVINIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "address_1": "207 W Locust St",
            "city": "Lafayette",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370831710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, TN

Sources for this page

Verify at the official NPI Registry.