Mychele Lannom, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21705 Issued in TN

Practice address

111 Center Pointe Dr
Clarksville, TN 37040-8682

Phone

(931) 648-7615

Fax

(931) 648-7616

NPI assigned

Nov 27, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clarksville Internal Medicine, PLCGroup PAC ID 9739255985, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Clarksville Internal Medicine, PLC

  • Internal Medicine Physician
  • Clarksville, TN
  • NPI 1922256783
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1480204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480204800000",
    "number": "1881137735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 JAN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431912",
            "telephone_number": "317-498-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTER POINTE DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370408682",
            "telephone_number": "931-648-7615",
            "fax_number": "931-648-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNOM",
        "first_name": "MYCHELE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-27",
        "last_updated": "2016-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Langley
• Pam R. Langley, RN
• Robert Lanham, CRNA
• Shelby Leigh Lanham
• Nicole Ashley Lanier, BCBA
• Thomas Lara
• Mary Laremore, LMSW, LADAC II
• Gege Larkin
• Ki'Ara Larkin
• Gary L Larkins, MD

• Family Nurse Practitioner in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.