NPIMap

Individual provider Active NPI

Farah F Cardosi, DNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1235667965
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
22829 Issued in TN
Practice address
7550 Wolf River Blvd Ste 103
Germantown, TN 38138-1779
Phone
(901) 761-9097
Fax
(901) 682-7635
NPI assigned
May 25, 2017
Last updated
May 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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 22829 TN Primary

Addresses

Primary practice location

7550 Wolf River Blvd Ste 103
Germantown, TN 38138-1779

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other practice location 1

1204 W Poplar Ave Ste 102
Collierville, TN 38017-3106
Phone (901) 758-7840

Other identifiers 2

IdentifierTypeStateIssuer
6115070OtherTNBCBS
Q029698MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170824001671 TN Practitioner - Nurse Practitioner 2163794256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Methodist Physicians LLCGroup PAC ID 2769623669, 123 clinicians
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

1204 W Poplar Ave
Suite 102
Collierville, TN 38017-3106
Phone (901) 758-7840

7550 Wolf River Blvd
Suite 103
Germantown, TN 38138-1779
Phone (907) 761-9097

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22829TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Methodist Physicians LLC CurrentSince Jul 1, 2025 Accepting new patients
Midsouth Independent Group, PLLC CurrentSince Jul 1, 2021 Accepting new patients
Methodist Healthcare - Memphis Hospitals PastSince Jun 25, 2023 Accepting new patients

Locations

1204 W Poplar Ave
Ste 102
Collierville, TN 38017
Phone (901) 601-3135

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1211 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 287-5182

1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785

Interoperability endpoints

  • Direct secure messaging: fcardosi26138@mlh.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1235667965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 WOLF RIVER BLVD STE 103",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381779",
            "telephone_number": "901-761-9097",
            "fax_number": "901-682-7635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 W Poplar Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380173106",
            "country_code": "US",
            "telephone_number": "901-758-7840",
            "fax_number": "901-758-7771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDOSI",
        "first_name": "FARAH",
        "middle_name": "F",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "22829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "6115070",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029698",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.