Bambi Lafont, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000021896 Issued in TN

Practice address

176C W University Pkwy # C
Jackson, TN 38305-1616

Phone

(731) 660-6915

Fax

(731) 668-4557

NPI assigned

Oct 14, 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Balance Medical and Rehab, PLLC

  • General Practice Physician
  • Milan, TN
  • NPI 1043751381
  Medicare reassignment NPD
• Total Wellness Chiropractic, PLLC

  • Chiropractor
  • Milan, TN
  • NPI 1265632350
  NPD

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1952852980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 US HIGHWAY 45 W",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383438503",
            "telephone_number": "731-784-7773",
            "fax_number": "731-784-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176C W UNIVERSITY PKWY # C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051616",
            "telephone_number": "731-660-6915",
            "fax_number": "731-668-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONT",
        "first_name": "BAMBI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanda Lanette Kuroda, LPN
• Ankit Kushwaha, MD
• Amanda Smith Kyzar, CASE MANAGER
• Laboratory Corporation of America
• Felicia Sherrell Lacy
• Donald Lafont, MD
• Jacklyn F Lafont, LPC
• Alymarie Taylor Laird, LCSW
• David M Laird, MD
• Evelyn Lake-Harris, APN

• Family Nurse Practitioner in Jackson, TN
• Providers in Jackson, 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 Dec 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.