Active NPI
Brittany Moten
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 21806
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000191368 | TN | MD | Registered Nurse |
| 21806 | TN | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopefield Mental Health Foundation, Inc | Current | Accepting new patients | |
| Hopefield Healthcare Services PLLC | Current | Accepting new patients | |
| Compassion Mental Health Inc | Psychiatric/Mental Health | Current | Accepting new patients |
| New Vision Psychiatry | Psychiatric/Mental Health | Current | 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
- NPI 1346952215
-
- Multi-Specialty Clinic/Center
- Bartlett, TN
- NPI 1124583687
Psychiatric/Mental Health
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Jackson, TN
- NPI 1932645991
-
- Psychiatry Physician
- Jackson, TN
- NPI 1831845593
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1285002634
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Scottsdale, AZ
- NPI 1831682111
TN
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.