Individual provider Active NPI

Fawn Cress, FNP

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1154351278
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6306 Issued in TN
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

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
09684770MedicaidMS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070201000582 TN Practitioner - Nurse Practitioner 0840295374 Reassigns benefits to 2 organizations

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
Harper Medical Group, PCGroup PAC ID 5799961850, 13 clinicians

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

OrganizationSpecialtyStatusNew patients
Harper Medical Group, PC CurrentSince Jun 16, 2025 Accepting new patients
Mid-South Urgent Care, PLLC CurrentSince Feb 14, 2024 Accepting new patients
Mid-South Urgent Care, PLLC CurrentSince Feb 14, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.