Individual provider Active NPI

Lashandra Nicole Saulsberry

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1114565538
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26914 Issued in TN
Practice address
5865 Ridgeway Center Pkwy
Ste 300
Memphis, TN 38120-4014
Phone
(901) 602-2935
Fax
(901) 589-8768
NPI assigned
Dec 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26914 TN Primary

Addresses

Primary practice location

5865 Ridgeway Center Pkwy
Ste 300
Memphis, TN 38120-4014

Mailing address

5865 Ridgeway Center Pkwy
Ste 300
Memphis, TN 38120-4014
Phone (901) 820-4600

Other practice location 1

36 Bazeberry Rd
Cordova, TN 38018-7754
Phone (901) 246-0745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TN2 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
I20200506001290 NY Practitioner - Nurse Practitioner 9830528405 Reassigns benefits to 1 organization
I20201015003305 TN Practitioner - Nurse Practitioner 9830528405 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Process Psychiatry and Wellness Psychiatric/Mental Health CurrentSince Nov 26, 2024 Accepting new patients
Queens Psychiatric & Medical Care P.C. Psychiatric/Mental Health CurrentSince Jan 5, 2026 Accepting new patients

Locations

9520 63rd Rd
Ste J
Rego Park, NY 11374
Phone (718) 459-5812

5865 Ridgeway Center Pkwy
Ste 300
Memphis, TN 38120
Phone (901) 602-2935

Organizations & group practices 3

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1114565538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY",
            "address_2": "STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-820-4600",
            "fax_number": "901-767-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5865 RIDGEWAY CENTER PKWY",
            "address_2": "STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204014",
            "telephone_number": "901-602-2935",
            "fax_number": "901-589-8768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 Bazeberry Rd",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380187754",
            "country_code": "US",
            "telephone_number": "901-246-0745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAULSBERRY",
        "first_name": "LASHANDRA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "26914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.