Active NPI
Kathryn W Byrd, MD
- Ophthalmology Physician
- Memphis, TN
National Provider Identifier
1013084953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 20339
- Practice address
- 6401 Poplar Ave
Suite 324
Memphis, TN 38119-4823 - Phone
- (901) 681-9600
- Fax
- (901) 681-9608
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 20339 | TN | Primary |
Addresses
Primary practice location
6401 Poplar Ave
Suite 324
Memphis, TN 38119-4823
Mailing address
6401 Poplar Ave
Suite 324
Memphis, TN 38119-4823
Phone (901) 681-9600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3075062 | Medicaid | TN |
Other names 1
- Kathryn W Byrd
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20339 | TN | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1013084953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6401 POPLAR AVE",
"address_2": "SUITE 324",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194823",
"telephone_number": "901-681-9600",
"fax_number": "901-681-9608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6401 POPLAR AVE",
"address_2": "SUITE 324",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381194823",
"telephone_number": "901-681-9600",
"fax_number": "901-681-9608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "KATHRYN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TN",
"license": "20339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3075062",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "BYRD",
"middle_name": "W",
"credential": "MD",
"code": "1",
"type": "Former 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 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.