LAKESIDE MEDICAL, PLLC
NPI 1962802009
Nurse Practitioner - Family in Dandridge, TN
About Lakeside Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKESIDE MEDICAL, PLLC (NPI 1962802009) is a healthcare organization registered as a family in Dandridge, Tennessee and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Kristin Belcher, Owner/fnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 44D2086537
Lakeside Medical, PLLC · Dandridge, TNOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lakeside Medical, PLLC's NPI number?
The NPI number for Lakeside Medical, PLLC is 1962802009. It was assigned to this organization in the NPPES registry on August 26, 2014.
Where is Lakeside Medical, PLLC located?
Lakeside Medical, PLLC is located at 127 W Meeting St, Dandridge, TN 37725. The listed phone number is (865) 397-6680.
What is Lakeside Medical, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Lakeside Medical, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2086537) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Lakeside Medical, PLLC was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
