Individual provider Active NPI

Brittany Moten

  • Psychiatric/Mental Health Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1154771541
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
21806 Issued in TN
Practice address
4646 Poplar Ave Ste 420
Memphis, TN 38117-4434
Phone
(901) 467-2622
Fax
(901) 467-2677
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21806 TN Primary
Registered Nurse 163W00000X RN0000191368 TN
Family Nurse Practitioner 363LF0000X 21806 TN

Addresses

Primary practice location

4646 Poplar Ave Ste 420
Memphis, TN 38117-4434

Mailing address

4646 Poplar Ave Ste 420
Memphis, TN 38117-4434
Phone (901) 467-2622

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
I20161213001571 TN Practitioner - Nurse Practitioner 8426338278 Reassigns benefits to 6 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN0000191368TNMDRegistered Nurse
21806TNMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hopefield Mental Health Foundation, Inc CurrentSince May 31, 2023 Accepting new patients
Hopefield Healthcare Services PLLC CurrentSince Nov 1, 2022 Accepting new patients
Compassion Mental Health Inc Psychiatric/Mental Health CurrentSince Apr 1, 2020 Accepting new patients
New Vision Psychiatry Psychiatric/Mental Health CurrentSince Jan 12, 2023 Accepting new patients

Locations

7556 US Highway 70
Bartlett, TN 38133
Phone (901) 568-7774

439 McGaughey St
Dyersburg, TN 38024
Phone (731) 285-7999

30 Sandstone Cir
Jackson, TN 38305
Phone (731) 240-1695

4646 Poplar Ave
Ste 420
Memphis, TN 38117
Phone (901) 467-2622

Interoperability endpoints

  • Direct secure messaging: brittany.moten.p1@direct.tristatechc.nextgenshare.com

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1154771541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 420",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174434",
            "telephone_number": "901-467-2622",
            "fax_number": "901-467-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 POPLAR AVE STE 420",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174434",
            "telephone_number": "901-467-2622",
            "fax_number": "901-467-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTEN",
        "first_name": "BRITTANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "21806",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000191368",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.