Individual provider Active NPI

Katrina H Denegri, GNP

  • Gerontology Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1003813023
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN0000008186 Issued in TN
Practice address
1726 Poplar Ave
Memphis, TN 38104-6426
Phone
(901) 725-0872
Fax
(901) 278-6934
NPI assigned
Jul 5, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN0000008186 TN Primary

Addresses

Primary practice location

1726 Poplar Ave
Memphis, TN 38104-6426

Mailing address

PO Box 820406
Memphis, TN 38182-0406
Phone (901) 725-0872

Other identifiers 1

IdentifierTypeStateIssuer
3908110MedicaidTN

Other names 1

  • Miss Katrina A Hardin Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000008186TNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osh Mi Physicians Group, PC PastSince Aug 30, 2021 Accepting new patients
Geriatric Group of Memphis,PLLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003813023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820406",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381820406",
            "telephone_number": "901-725-0872",
            "fax_number": "901-278-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046426",
            "telephone_number": "901-725-0872",
            "fax_number": "901-278-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENEGRI",
        "first_name": "KATRINA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN0000008186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3908110",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "HARDIN",
            "middle_name": "A",
            "prefix": "MISS",
            "credential": "GNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.