Active NPI
Sydney Brooke Kreisman, FNP-C
- Family Nurse Practitioner
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 35816
- Practice address
- 1400 S Germantown Rd
Germantown, TN 38138-2205 - Phone
- (901) 759-3111
- NPI assigned
- Feb 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 35816 | TN | Primary |
Addresses
Primary practice location
1400 S Germantown Rd
Germantown, TN 38138-2205
Mailing address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240314000970 | TN | Practitioner - Nurse Practitioner | 2163868076 | Reassigns benefits to 1 organization |
| I20240508003947 | MS | Practitioner - Nurse Practitioner | 2163868076 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Campbell Clinic, PC
Practice addresses (Care Compare)
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3196
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35816 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Campbell Clinic, PC | Current | Accepting new patients | |
| Campbell Clinic PC | Current | Accepting new patients | |
| Campbell Clinic | Past | Accepting new patients | |
| CC Bpci PLC | Past | Accepting new patients |
Locations
6760 Goodman Rd
Ste 110
Olive Branch, MS 38654
7545 Airways Blvd
Southaven, MS 38671
Phone (901) 759-3196
7887 Wolf River Blvd
Memphis, TN 38138
Phone (901) 759-3180
1400 S Germantown Rd
Memphis, TN 38138
Phone (901) 759-3111
Interoperability endpoints
- sydney.kreisman.1@1366.direct.athenahealth.com
- https://api.platform.athenahealth.com/1366/brand/1/csg/1/fhir/r4
Organizations & group practices 26
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.
-
- Durable Medical Equipment & Medical Supplies
- Bristol, TN
- NPI 1104711514
-
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
- NPI 1164317368
-
- Durable Medical Equipment & Medical Supplies
- Arlington, TN
- NPI 1194619734
-
- Durable Medical Equipment & Medical Supplies
- Sparta, TN
- NPI 1245128214
-
- Durable Medical Equipment & Medical Supplies
- Bristol, TN
- NPI 1245199264
-
- Durable Medical Equipment & Medical Supplies
- Cookeville, TN
- NPI 1265326664
-
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
- NPI 1356235782
-
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
- NPI 1407740822
-
- Durable Medical Equipment & Medical Supplies
- Crossville, TN
- NPI 1467346858
-
- Durable Medical Equipment & Medical Supplies
- Johnson City, TN
- NPI 1487549895
-
- Durable Medical Equipment & Medical Supplies
- Collierville, TN
- NPI 1619152642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1245097955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-759-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-759-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREISMAN",
"first_name": "SYDNEY",
"middle_name": "BROOKE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-02-29",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "35816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.