Daphne B Beech, FNP
Individual provider Active NPI Family Nurse Practitioner · Memphis, TN
NPI 1013079490 · NPPES record last updated Feb 11, 2011
Key facts
- NPI
- 1013079490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6320 (TN)
- Practice address
- 1417 Monroe Ave
Memphis, TN 38104-3634 - Phone
- (901) 690-9149
- Fax
- (901) 358-9933
- NPI assigned
- Dec 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090217000692 | TN | Practitioner - Nurse Practitioner | 1759371511 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6320 | TN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillip R. Bowden, M.D.,P.a. | Current |
Accepting new patients | |
| Carenow, Inc | Past | Accepting new patients | |
| Advanced Primary Care LLC | Past |
Accepting new patients |
Locations
1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200
1717 Kirby Pkwy
Memphis, TN 38120
Phone (901) 272-7200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6320 | TN | Yes |
Addresses
Primary practice location
1417 Monroe Ave
Memphis, TN 38104-3634
Mailing address
1417 Monroe Ave
Memphis, TN 38104-3634
Phone (901) 690-9149
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3906998 | Medicaid | TN |
Other providers in Memphis, TN
- Mary Bedwell
- Tasha Bedwell
- Tiffany Bee
- Laura Beebe
- Michael Jason Beebe
- Leeanna Allyson Beech
- Darrin Beecham
- Tamika Ann Beecham
- Helen Beeman
- Cheryl Beene
All providers in Memphis, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.