NPIMap

Organization Active NPI

Womble Healthcare

  • Family Nurse Practitioner
  • Shelbyville, TN
National Provider Identifier
1972903375
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18403 Issued in TN
Legal business name
WOMBLE HEALTHCARE
Practice address
208 Lane Pkwy
Shelbyville, TN 37160-3109
Phone
(931) 685-9277
Fax
(931) 685-9244
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Mrs. Lynette Womble, APRN-BCNPI 1669653663
Title
Nurse Practioner/Owner
Phone
(931) 685-9277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 10762 TN
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X 18403 TN Primary

Addresses

Primary practice location

208 Lane Pkwy
Shelbyville, TN 37160-3109

Mailing address

208 Lane Pkwy
Shelbyville, TN 37160-3109
Phone (931) 685-9277

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1076152Womble Healthcare208 Lane Parkway, Shelbyville, TN 37160Provider-performed microscopyNov 5, 2027

National Provider Directory

National Provider Directory

Locations

208 Lane Pkwy
Shelbyville, TN 37160
Phone (931) 685-9277

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1972903375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 LANE PKWY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603109",
            "telephone_number": "931-685-9277",
            "fax_number": "931-685-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LANE PKWY",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371603109",
            "telephone_number": "931-685-9277",
            "fax_number": "931-685-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMBLE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "WOMBLE",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "NURSE PRACTIONER/OWNER",
        "authorized_official_telephone_number": "931-685-9277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "10762",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.