Individual provider Active NPI

Lauren Bealle

  • Family Nurse Practitioner
  • Clarksville, TN
National Provider Identifier
1912898487
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
42355 Issued in TN
Practice address
190 Hatcher LN Ste B
Clarksville, TN 37043-5989
Phone
(931) 221-0902
Fax
(931) 221-0602
NPI assigned
Jul 14, 2025
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X P4025891 KY
Family Nurse Practitioner 363LF0000X 42355 TN Primary

Addresses

Primary practice location

190 Hatcher LN Ste B
Clarksville, TN 37043-5989

Mailing address

190 Hatcher LN Ste B
Clarksville, TN 37043-5989
Phone (931) 221-0902

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

190 Hatcher LN
Suite B
Clarksville, TN 37043-5988

PO Box
Suite 13219
Durham, NC 27709-3219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P4025891KYMDFamily Nurse Practitioner
42355TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Direct Care, PLC CurrentSince Jul 6, 2026 Accepting new patients

Locations

190 Hatcher Ln
Ste B
Clarksville, TN 37043
Phone (931) 221-0902

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1912898487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HATCHER LN STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435989",
            "telephone_number": "931-221-0902",
            "fax_number": "931-221-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HATCHER LN STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435989",
            "telephone_number": "931-221-0902",
            "fax_number": "931-221-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEALLE",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "P4025891",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "42355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.