Active NPI
Raven Johnson Bratcher, DNP, APRN, FNP
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 25577
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meharry Health Network, PC | Current | Accepting new patients | |
| Carpenter Primary Healthcare, PLLC | Family | Current | Accepting new patients |
| Meharry Health Network, PC | Current | 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
- 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.
-
- Family Medicine Physician
- Memphis, TN
- NPI 1942839147
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1770971533
-
- Family Medicine Physician
- Cordova, TN
- NPI 1023647237
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.