Individual provider Active NPI

Deidre Nicole Brownlee

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1184406514
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000034757 Issued in TN
Practice address
1213 Ridgeway Rd Ste 104
Memphis, TN 38119-5316
Phone
(901) 509-8205
Fax
(901) 509-8708
NPI assigned
Oct 19, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000034757 TN Primary

Addresses

Primary practice location

1213 Ridgeway Rd Ste 104
Memphis, TN 38119-5316

Mailing address

1213 Ridgeway Rd Ste 104
Memphis, TN 38119-5316
Phone (901) 509-8205

Other practice location 1

8040 Wolf River Blvd Ste 103
Germantown, TN 38138-1773
Phone (901) 725-8606

Other practice location 2

2100 Exeter Rd
Germantown, TN 38138-3966
Phone (901) 757-1350

Other practice location 3

6215 Humphreys Blvd Ste 301
Memphis, TN 38120-2382
Phone (901) 227-9875

Other practice location 4

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 227-9875

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
I20231211002793 TN Practitioner - Nurse Practitioner 7113376526 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000034757TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Dec 25, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Dec 25, 2023 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8138 Country Village Dr
Cordova, TN 38016
Phone (901) 725-8606

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

6215 Humphreys Blvd
Ste 301
Memphis, TN 38120
Phone (901) 227-9870

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1184406514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 RIDGEWAY RD STE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195316",
            "telephone_number": "901-509-8205",
            "fax_number": "901-509-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 RIDGEWAY RD STE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195316",
            "telephone_number": "901-509-8205",
            "fax_number": "901-509-8708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 Wolf River Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381773",
            "country_code": "US",
            "telephone_number": "901-725-8606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Exeter Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381383966",
            "country_code": "US",
            "telephone_number": "901-757-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6215 Humphreys Blvd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202382",
            "country_code": "US",
            "telephone_number": "901-227-9875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8138 Country Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162029",
            "country_code": "US",
            "telephone_number": "901-227-9875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWNLEE",
        "first_name": "DEIDRE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000034757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.