Individual provider Active NPI

Lauren Renfrow, LPN

  • Licensed Practical Nurse
  • Ripley, TN
National Provider Identifier
1891254835
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
87446 Issued in TN
Practice address
403 Commerce St
Ripley, TN 38063-2060
Phone
(731) 635-3968
NPI assigned
Mar 19, 2019
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 87446 TN Primary

Addresses

Primary practice location

403 Commerce St
Ripley, TN 38063-2060

Mailing address

535 S Tipton St
Covington, TN 38019-2845

Other practice location 1

2380 Henry St
Dyersburg, TN 38024-1847
Phone (731) 287-1794

Other practice location 2

1997 Highway 51 S
Covington, TN 38019-3630
Phone (901) 476-8967

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

State licenses

LicenseStateTypeSpecialty
87446TNMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1891254835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S TIPTON ST",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 COMMERCE ST",
            "city": "RIPLEY",
            "state": "TN",
            "postal_code": "380632060",
            "telephone_number": "731-635-3968"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Henry St",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380241847",
            "country_code": "US",
            "telephone_number": "731-287-1794",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1997 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "TN",
            "postal_code": "380193630",
            "country_code": "US",
            "telephone_number": "901-476-8967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENFROW",
        "first_name": "LAUREN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "87446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.