Individual provider Active NPI

Laura Beth Wendt, ANP

  • Adult Health Nurse Practitioner
  • Chattanooga, TN
National Provider Identifier
1972837680
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ANP14428 Issued in TN
Practice address
605 Glenwood Dr
Suite 404
Chattanooga, TN 37404-1175
Phone
(423) 629-7220
Fax
(423) 629-4091
NPI assigned
Sep 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ANP14428 TN Primary

Addresses

Primary practice location

605 Glenwood Dr
Suite 404
Chattanooga, TN 37404-1175

Mailing address

1949 Gunbarrel Rd Ste 206
Chattanooga, TN 37421-3188
Phone (423) 495-4345

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20091125000001 TN Practitioner - Nurse Practitioner 1850430281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ANP14428TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Emergency Medicine PLLC Current Accepting new patients
Chattanooga Emergency Medicine PLLC CurrentSince Jun 21, 2011 Accepting new patients
Center for Integrative Medicine, P.C. Past Accepting new patients

Locations

2525 Desales Ave
Chattanooga, TN 37404
Phone (423) 495-2620

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1972837680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 GUNBARREL RD STE 206",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213188",
            "telephone_number": "423-495-4345",
            "fax_number": "423-495-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GLENWOOD DR",
            "address_2": "SUITE 404",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374041175",
            "telephone_number": "423-629-7220",
            "fax_number": "423-629-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDT",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "ANP14428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.