Tina M Todd, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

6501 Issued in TN

Practice address

5070 Sanderlin Ave
Memphis, TN 38117-4332

Phone

(901) 821-0338

Fax

(901) 507-8298

NPI assigned

May 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Geriatric Wellness Physicians LLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1841143724
  Medicare reassignment
• Memphis Internal Medicine, PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1063497519
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184832156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 CHERRY CIR E",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381173522",
            "telephone_number": "901-821-0338",
            "fax_number": "901-507-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5070 SANDERLIN AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174332",
            "telephone_number": "901-821-0338",
            "fax_number": "901-507-8298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7205 Wolf River Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "38138",
            "country_code": "US",
            "telephone_number": "901-684-1322",
            "fax_number": "901-682-6368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006501",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526788",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Sean Todd, LCSW
• Nakisha Nicole Todd
• Raleigh Dustin Todd, CRNA
• Rita Eileen Todd, PH.D.
• Shantay L Todd, FNP-BC
• Lorraine A Todor, PHARMD
• Togetherness Personal Care
• Ebony La'Roya Tolbert
• Arianne Guan Toleno, DACM, L. AC.
• Teresa Collins Toler

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.