Lori M Middleton

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

17495 Issued in TN

Practice address

136 Mountain Perkins LN
Suite 2
Jacksboro, TN 37757-2841

Phone

(423) 562-4149

Fax

(423) 566-6929

NPI assigned

Mar 25, 2013

Last updated

Mar 25, 2013By the provider in NPPES

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allergic Diseases Asthma and Immunology Clinic PCGroup PAC ID 7416950704, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

57.28 of 100Reported as group

Quality

85.35

Improvement activities

0

Cost

77.15

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lori.middleton.1@22384.direct.athenahealth.com

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.

• Allergic Diseases Asthma & Immunology Clinic PC

  • Allergy Physician
  • Knoxville, TN
  • NPI 1205879400
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1922340371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 TOWN CREEK RD E",
            "address_2": "SUITE 2B",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377725690",
            "telephone_number": "865-986-1400",
            "fax_number": "865-986-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MOUNTAIN PERKINS LN",
            "address_2": "SUITE 2",
            "city": "JACKSBORO",
            "state": "TN",
            "postal_code": "377572841",
            "telephone_number": "423-562-4149",
            "fax_number": "423-566-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "LORI",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "17495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia McKamey
• Med-Trans Corporation
• Mercy Women's Care
• Mercy Women's Center
• Frank Townsend Metelka, DDS
• Barbara Milton
• Alissa Dower Miracle, PHARMD
• Mary Kate Moore, APRN, FNP-BC
• Jennifer Maria Muggridge, APRN
• Laura Kaleigh Mundy, FNP-BC

• Pediatric Nurse Practitioner in Jacksboro, TN
• Providers in Jacksboro, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.