Active NPI
Mikaele Rector, CPNP-PC
- Pediatric Nurse Practitioner
- Memphis, TN
National Provider Identifier
1225819352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 34864
- Practice address
- 6625 Lenox Park Dr Ste 101
Memphis, TN 38115-4397 - Phone
- (901) 683-0024
- NPI assigned
- Oct 13, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 34864 | TN | Primary |
Addresses
Primary practice location
6625 Lenox Park Dr Ste 101
Memphis, TN 38115-4397
Mailing address
6063 Mt Moriah Rd Ext
Memphis, TN 38115-2757
Phone (901) 531-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darsalud Community Center Inc | Current | Accepting new patients | |
| Darsalud Community Center Inc | Past | Accepting new patients | |
| Centrosalud PC | Past | Accepting new patients |
Locations
6063 Mount Moriah Road Ext
Ste 4
Memphis, TN 38115
Phone (901) 531-8800
6625 Lenox Park Dr
Ste 101
Memphis, TN 38115
Phone (901) 683-0024
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.
-
- General Practice Physician
- Memphis, TN
- NPI 1174184709
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1205036951
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841158375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1225819352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6063 MT MORIAH RD EXT",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381152757",
"telephone_number": "901-531-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6625 LENOX PARK DR STE 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381154397",
"telephone_number": "901-683-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECTOR",
"first_name": "MIKAELE",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-13",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "34864",
"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 Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.