Active NPI
Fawn Cress, FNP
- Family Nurse Practitioner
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6306
- Practice address
- 1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687 - Phone
- (901) 421-5000
- Fax
- (901) 901-5721
- NPI assigned
- Jul 4, 2006
- 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 | 6306 | TN | Primary |
Addresses
Primary practice location
1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687
Mailing address
1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687
Phone (901) 421-5000
Other practice location 1
5905 Stage Rd
Bartlett, TN 38134-4521
Phone (901) 779-8657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09684770 | Medicaid | MS |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Tennessee, HSC, College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5475 Poplar Ave
Suite 106
Memphis, TN 38119-3730
Phone (901) 254-8040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harper Medical Group, PC | Current | Accepting new patients | |
| Mid-South Urgent Care, PLLC | Current | Accepting new patients | |
| Mid-South Urgent Care, PLLC | Current | Accepting new patients |
Locations
5905 Stage Rd
Bartlett, TN 38134
Phone (901) 779-8657
1204 N Houston Levee Rd
Ste 114
Cordova, TN 38018
Phone (901) 355-7197
5475 Poplar Ave
Ste 106
Memphis, TN 38119
Phone (901) 254-8040
Interoperability endpoints
- https://api.platform.athenahealth.com/8332/brand/1/csg/1/fhir/r4
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.
-
dba Afc Urgent Care Memphis
- Urgent Care Clinic/Center
- Memphis, TN
- NPI 1518274927
-
- Family Medicine Physician
- Bartlett, TN
- NPI 1326741844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1154351278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1204 N HOUSTON LEVEE RD STE 114",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186687",
"telephone_number": "901-421-5000",
"fax_number": "901-227-0499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1204 N HOUSTON LEVEE RD STE 114",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186687",
"telephone_number": "901-421-5000",
"fax_number": "901-901-5721"
}
],
"practiceLocations": [
{
"address_1": "5905 Stage Rd",
"address_purpose": "LOCATION",
"city": "Bartlett",
"state": "TN",
"postal_code": "381344521",
"country_code": "US",
"telephone_number": "901-779-8657",
"fax_number": "901-791-4208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRESS",
"first_name": "FAWN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "6306",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09684770",
"state": "MS"
}
],
"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 Feb 14, 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.