Individual provider Active NPI

Lauren Rae Hudson Bristol, NP

  • Pediatric Nurse Practitioner
  • Murfreesboro, TN
National Provider Identifier
1821562901
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
25113 Issued in TN
Practice address
1015 Hanson CT Ste 101
Murfreesboro, TN 37129-2765
Phone
(615) 203-0566
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 160411 TN
Pediatric Nurse Practitioner 363LP0200X 25113 TN Primary

Addresses

Primary practice location

1015 Hanson CT Ste 101
Murfreesboro, TN 37129-2765

Mailing address

1420 Donelson Pike Ste B17
Nashville, TN 37217-3015
Phone (615) 610-4523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
160411TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Diagnostic Imaging, PC Past Accepting new patients
Privia Medical Group Tennessee LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren.bristol.1@25094.direct.athenahealth.com

Organizations & group practices 2

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": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1821562901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 DONELSON PIKE STE B17",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173015",
            "telephone_number": "615-610-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 HANSON CT STE 101",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292765",
            "telephone_number": "615-203-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRISTOL",
        "first_name": "LAUREN",
        "middle_name": "RAE HUDSON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "160411",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "25113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.