Individual provider Active NPI

Lauren McCartney Manzo, AGPCNP-BC

  • Nurse Practitioner
  • Mount Juliet, TN
National Provider Identifier
1881041846
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20789 Issued in TN
Practice address
5003 Crossings Cir Ste 103
Mt Juliet, TN 37122-8583
Phone
(615) 754-7274
Fax
(216) 781-9597
NPI assigned
May 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20789 TN Primary

Addresses

Primary practice location

5003 Crossings Cir Ste 103
Mt Juliet, TN 37122-8583

Mailing address

7156 Bidwell Rd
Joelton, TN 37080-8609
Phone (731) 780-6070

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
I20160721002413 TN Practitioner - Nurse Practitioner 2860785227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Hyperbaric Centers, LLCGroup PAC ID 4082682778, 16 clinicians

Practice addresses (Care Compare)

5003 Crossings Cir
Suite 103
Mt Juliet, TN 37122-8583
Phone (216) 443-0430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Hyperbaric Centers, LLC CurrentSince Sep 9, 2023 Accepting new patients

Locations

127 Public Sq
Ste 2400
Cleveland, OH 44114

600 Superior Ave
Ste 2400
Cleveland, OH 44114
Phone (216) 337-1622

9330 Park West Blvd
Ste 108
Knoxville, TN 37923
Phone (865) 769-8635

5003 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (216) 443-0430

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": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1881041846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7156 BIDWELL RD",
            "city": "JOELTON",
            "state": "TN",
            "postal_code": "370808609",
            "telephone_number": "731-780-6070",
            "fax_number": "216-781-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 CROSSINGS CIR STE 103",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371228583",
            "telephone_number": "615-754-7274",
            "fax_number": "216-781-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "LAUREN",
        "middle_name": "MCCARTNEY",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

Verify at the official NPI Registry.