Individual provider Active NPI

Timeki Williams Dennis, NP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1174771349
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
20396 Issued in TN
Practice address
2996 Kate Bond Rd
Ste 209
Memphis, TN 38133-4030
Phone
(901) 300-2970
Fax
(901) 384-8988
NPI assigned
Aug 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 934 TN
Nurse Practitioner 363L00000X 20396 TN Primary

Addresses

Primary practice location

2996 Kate Bond Rd
Ste 209
Memphis, TN 38133-4030

Mailing address

2996 Kate Bond Rd
Ste 209
Memphis, TN 38133-4030
Phone (901) 300-2970

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
I20160217001279 TN Practitioner - Nurse Practitioner 4688979370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

2996 Kate Bond Rd
Suite 209
Bartlett, TN 38133-4062
Phone (901) 529-7138

Hospital & facility affiliations

  • St Francis Hospital Hospital, Memphis, TN, CCN 440183
  • Saint Francis Bartlett Medical Center Hospital, Bartlett, TN, CCN 440228

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
934TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
Eric Blakney Current Accepting new patients
Saint Francis Surgical Associates LLC Past Accepting new patients

Locations

2996 Kate Bond Rd
Ste 209
Bartlett, TN 38133
Phone (901) 529-7138

2996 Kate Bond Rd
Ste 203
Bartlett, TN 38133
Phone (901) 300-2970

6029 Walnut Grove Rd
Ste 404
Memphis, TN 38120

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 300B
Memphis, TN 38119

Interoperability endpoints

  • Direct secure messaging: timeki.dennis.1@16700.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1174771349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD",
            "address_2": "STE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334030",
            "telephone_number": "901-300-2970",
            "fax_number": "901-384-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 KATE BOND RD",
            "address_2": "STE 209",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334030",
            "telephone_number": "901-300-2970",
            "fax_number": "901-384-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "TIMEKI",
        "middle_name": "WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "934",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "20396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.