Individual provider Active NPI

Erin Grace Lay, APRN

  • Family Nurse Practitioner
  • Vonore, TN
National Provider Identifier
1851835524
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22106 Issued in TN
Practice address
1206 Highway 411
Vonore, TN 37885-2455
Phone
(423) 884-7271
Fax
(423) 884-3277
NPI assigned
Dec 14, 2016
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 22106 TN
Family Nurse Practitioner 363LF0000X 22106 TN Primary
Registered Nurse 163W00000X 182209 TN

Addresses

Primary practice location

1206 Highway 411
Vonore, TN 37885-2455

Mailing address

PO Box 278
Madisonville, TN 37354-0278
Phone (423) 442-2622

Other practice location 1

412 Hunt St
Tellico Plains, TN 37385-5046
Phone (423) 253-6545

Other practice location 2

4798 New Highway 68
Madisonville, TN 37354-1287
Phone (423) 442-2622

Other identifiers 2

IdentifierTypeStateIssuer
13942782OtherTNCAQH
Q025836MedicaidTN

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
182209TNMDRegistered Nurse
22106TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851835524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373540278",
            "telephone_number": "423-442-2622",
            "fax_number": "423-442-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-884-7271",
            "fax_number": "423-884-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 Hunt St",
            "address_purpose": "LOCATION",
            "city": "Tellico Plains",
            "state": "TN",
            "postal_code": "373855046",
            "country_code": "US",
            "telephone_number": "423-253-6545",
            "fax_number": "423-253-6538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4798 New Highway 68",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "TN",
            "postal_code": "373541287",
            "country_code": "US",
            "telephone_number": "423-442-2622",
            "fax_number": "423-442-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAY",
        "first_name": "ERIN",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "22106",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22106",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "182209",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13942782",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025836",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vonore, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.