Tina M Hollis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

23562 Issued in TN

Practice address

2840 Summer Oaks Dr Ste 101
Bartlett, TN 38134-3854

Phone

(901) 730-7360

Fax

(901) 881-5972

NPI assigned

Nov 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, AR, MS3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Home Health Home health agency, Memphis, TN, CCN 447277

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Total Health Primary Care LLC

  • Family Nurse Practitioner
  • Cordova, TN
  • NPI 1417660648

  AR

  Medicare reassignment NPD Authorized official
• Curana Health of Tennessee LLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1750761060
  Medicare reassignment NPD
• Internal Health and Medical Services LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Cordova, TN
  • NPI 1215569207

  AR, MS

  Medicare reassignment NPD
• Ihms Healthcare Incorporated

  • Geriatric Medicine (Family Medicine) Physician
  • Cordova, TN
  • NPI 1033978291
  NPD (past)
• New Albany Urology, PLLC

  • Specialist
  • New Albany, MS
  • NPI 1770531931
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Tennessee, LLC

  • Home Health Agency
  • Memphis, TN
  • NPI 1114975539
  Care Compare affiliation

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1043724347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 SUMMER OAKS DR STE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343854",
            "telephone_number": "901-730-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 SUMMER OAKS DR STE 101",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343854",
            "telephone_number": "901-730-7360",
            "fax_number": "901-881-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q033272",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Andrew Hill, DDS
• Belinda Louise Hilliard, FNP
• Konstance Hines, PT, DPT
• Joshua James Holden, DPT
• Jerry Morgan Holley, MD
• Jamie Michelle Holloway, PT, DPT, PCS
• Brittany Holmes
• Olivia Holtzman
• Home Therapy Care, PC
• Nancy L. Hoover, FNP

• Family Nurse Practitioner in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.