Individual provider Active NPI

Raven Johnson Bratcher, DNP, APRN, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1205397809
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25577 Issued in TN
Practice address
1785 Nonconnah Blvd Ste 120
Memphis, TN 38132-2112
Phone
(901) 345-6700
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25577 TN Primary

Addresses

Primary practice location

1785 Nonconnah Blvd Ste 120
Memphis, TN 38132-2112

Mailing address

10086 Bloomsbury Ave
Cordova, TN 38016-0303
Phone (901) 690-6555

Other practice location 1

10086 Bloomsbury Ave
Cordova, TN 38016-0303
Phone (901) 690-6555

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
I20201123001552 TN Practitioner - Nurse Practitioner 5092126045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanitas Medical Center of Tennessee PCGroup PAC ID 5193143287, 13 clinicians

Practice addresses (Care Compare)

2382 N Germantown Pkwy
Suite 101
Cordova, TN 38016-7404
Phone (786) 405-8502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Health Network, PC CurrentSince Aug 1, 2022 Accepting new patients
Carpenter Primary Healthcare, PLLC Family CurrentSince Dec 1, 2022 Accepting new patients
Meharry Health Network, PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

2382 N Germantown Pkwy
Ste 101
Cordova, TN 38016
Phone (786) 405-8502

9155 Poplar Ave
Ste 27
Germantown, TN 38138
Phone (866) 364-8944

438 N Cleveland St
Memphis, TN 38104
Phone (866) 364-8944

1251 Wesley Dr
Ste 104
Memphis, TN 38116
Phone (870) 733-1177

Interoperability endpoints

  • Direct secure messaging: raven.johnsonbratcher@wwmp.eclinicaldirectplus.com

Organizations & group practices 3

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": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1205397809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10086 BLOOMSBURY AVE",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160303",
            "telephone_number": "901-690-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 NONCONNAH BLVD STE 120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381322112",
            "telephone_number": "901-345-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10086 Bloomsbury Ave",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380160303",
            "country_code": "US",
            "telephone_number": "901-690-6555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON BRATCHER",
        "first_name": "RAVEN",
        "credential": "DNP, APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.