Individual provider Active NPI

Lydia Marie Franklin, PMHNP-BC,FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1083673792
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5767 Issued in TN
Practice address
6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665
Phone
(901) 531-8800
Fax
(901) 531-8801
NPI assigned
Mar 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95007768 MS
Family Nurse Practitioner 363LF0000X R617601 MS
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 5767 TN
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 5767 TN Primary

Addresses

Primary practice location

6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665

Mailing address

6074 Apple Tree Dr Ste 10
Memphis, TN 38115-0300
Phone (901) 922-5951

Other practice location 1

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809
Phone (901) 683-0024

Other practice location 2

5201 S Vermont Ave
Los Angeles, CA 90037
Phone (323) 751-3026

Other identifiers 1

IdentifierTypeStateIssuer
1533012MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20131014000894 TN Practitioner - Nurse Practitioner 9537131958 Reassigns benefits to 2 organizations
I20221017001568 CA Practitioner - Nurse Practitioner 9537131958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, 94 clinicians
Alliance Healthcare ServicesGroup PAC ID 4082766621, 28 clinicians
Darsalud Community Center IncGroup PAC ID 1759706567, 11 clinicians

Practice addresses (Care Compare)

1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone (760) 499-3855

3810 Winchester Rd
Memphis, TN 38118-6045
Phone (901) 369-1400

6063 Mount Moriah Rd Ext
Suite 4
Memphis, TN 38115-2665
Phone (901) 531-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007768MSMDNurse Practitioner
R617601MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital Multi-Specialty CurrentSince Oct 1, 2022 Accepting new patients
Dar Salud Care PLLC Current Accepting new patients
Delta House Calls Multi-Specialty CurrentSince May 18, 2010 Accepting new patients
Ridgecrest Regional Hospital Multi-Specialty Current Accepting new patients
Darsalud Community Center Inc Multi-Specialty CurrentSince Sep 3, 2020 Accepting new patients
Darsalud Community Center Inc Past Accepting new patients
Southern California Health & Rehabilitation Program Past Accepting new patients
Hope Hospice & Pallative Care LLC PastSince Sep 1, 2005 Accepting new patients
Magnolia Medical Supplies and Equipment Past Accepting new patients

Locations

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
#190
Ridgecrest, CA 93555
Phone (760) 499-3855

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

6063 Mount Moriah Road Ext
Ste 4
Memphis, TN 38115
Phone (901) 531-8800

6625 Lenox Park Dr
Ste 101
Memphis, TN 38115
Phone (901) 683-0024

6074 Apple Tree Dr
Ste 10
Memphis, TN 38115

6625 Lenox Park Dr
Ste 201
Memphis, TN 38115

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1083673792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6074 APPLE TREE DR STE 10",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381150300",
            "telephone_number": "901-922-5951",
            "fax_number": "901-922-5952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 MOUNT MORIAH ROAD EXT STE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152665",
            "telephone_number": "901-531-8800",
            "fax_number": "901-531-8801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1068 Cresthaven Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381190809",
            "country_code": "US",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90037",
            "country_code": "US",
            "telephone_number": "323-751-3026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "LYDIA",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC,FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "95007768",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R617601",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "5767",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "5767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1533012",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.