Active NPI
Tessa Denzin, PA
- Physician Assistant
- Memphis, TN
National Provider Identifier
1114347366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2488
- Practice address
- 5366 Mendenhall Mall
Memphis, TN 38115-4505 - Phone
- (901) 271-6100
- Fax
- (901) 271-6199
- NPI assigned
- Apr 25, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2488 | TN | Primary |
Addresses
Primary practice location
5366 Mendenhall Mall
Memphis, TN 38115-4505
Mailing address
2595 Central Ave
Memphis, TN 38104-5905
Phone (901) 260-8500
Other names 1
- Tessa Tunnell
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
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398384000000",
"number": "1114347366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2595 CENTRAL AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045905",
"telephone_number": "901-260-8500",
"fax_number": "901-260-8590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5366 MENDENHALL MALL",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381154505",
"telephone_number": "901-271-6100",
"fax_number": "901-271-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENZIN",
"first_name": "TESSA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-25",
"last_updated": "2014-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TESSA",
"last_name": "TUNNELL",
"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 Apr 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.