Active NPI
Tanecia Oliver, FNP-C
- Family Nurse Practitioner
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33882
- Practice address
- 670 N Germantown Pkwy Ste 18
Cordova, TN 38018-6287 - Phone
- (901) 753-7686
- NPI assigned
- Jan 18, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 33882 | TN | Primary |
Addresses
Primary practice location
670 N Germantown Pkwy Ste 18
Cordova, TN 38018-6287
Mailing address
965 Ridge Lake Blvd
Memphis, TN 38120-9401
Phone (901) 227-4692
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F01230017 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240321000487 | TN | Practitioner - Nurse Practitioner | 1456798867 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baptist Memorial Medical Group, Inc.Baptist Minor Medical Centers Inc
Practice addresses (Care Compare)
2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-3424
3295 Poplar Ave
Suite 105
Memphis, TN 38111-4690
Phone (901) 327-8188
670 N Germantown Pkwy
Suite 18
Cordova, TN 38018-6287
Phone (901) 753-7686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33882 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Minor Medical Centers Inc | Family | Current | Accepting new patients |
| Baptist Memorial Medical Group Inc | Past | Accepting new patients | |
| Southeastern Emergency Physicians of Memphis LLC | Past | Accepting new patients |
Locations
670 N Germantown Pkwy
Ste 18
Cordova, TN 38018
Phone (901) 753-7686
3295 Poplar Ave
Ste 105
Memphis, TN 38111
Phone (901) 327-8188
Interoperability endpoints
- toliver608521@direct.bmhcc.org
Organizations & group practices 6
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.
-
- Community/Retail Pharmacy
- Germantown, TN
- NPI 1174087324
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1184481814
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Emergency Medicine Physician
- Alton, IL
- NPI 1437105277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1154036721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"telephone_number": "901-227-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 N GERMANTOWN PKWY STE 18",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186287",
"telephone_number": "901-753-7686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "TANECIA",
"name_prefix": "Miss",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-18",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "33882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "F01230017",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.