Laura A Edrington, APN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15069 Issued in TN

Practice address

7446 Shallowford Rd
#104
Chattanooga, TN 37421-8815

Phone

(423) 443-3336

NPI assigned

Aug 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

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.

• Agape Youth Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Chattanooga, TN
  • NPI 1528405925
  NPD (past)

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1962717827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7446 SHALLOWFORD RD",
            "address_2": "#104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218815",
            "telephone_number": "423-443-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7446 SHALLOWFORD RD",
            "address_2": "#104",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374218815",
            "telephone_number": "423-443-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDRINGTON",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "APN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "15069",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15069",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519987",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Rachelle Edens, SLP-CCC
• Edge Medical Services
• Anna Edgeston, L.P.C.
• Gary Martin Edgmon, DDS MS
• Albert Edmond Jr., M.S.
• Bry Alexi-Ife Edwards
• Caroline Jacqueline Edwards
• David Edwards
• Deanna Edwards, RN
• Hannah Elaine Edwards, MD

• Psychiatric/Mental Health Nurse Practitioner in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.