Individual provider Active NPI

Sandra Dee Garrison, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1245837533
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
03447713 Issued in TN
Practice address
335 Lillian Dr
Memphis, TN 38109-4431
Phone
(901) 653-4136
NPI assigned
Oct 8, 2020
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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 03447713 TN Primary

Addresses

Primary practice location

335 Lillian Dr
Memphis, TN 38109-4431

Mailing address

335 Lillian Dr
Memphis, TN 38109-4431
Phone (901) 653-4136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AR, MS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201216003355 TN Practitioner - Nurse Practitioner 3971915810 Reassigns benefits to 1 organization
Practice locations: Memphis, TN
I20231229001780 AR Practitioner - Nurse Practitioner 3971915810 Reassigns benefits to 1 organization
I20240111001842 MS Practitioner - Nurse Practitioner 3971915810 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03447713TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Holistic Primary Care CurrentSince May 16, 2021 Accepting new patients
Signify Health, LLC CurrentSince Dec 3, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jul 2, 2022 Accepting new patients

Locations

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (662) 390-7670

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1245837533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 LILLIAN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381094431",
            "telephone_number": "901-653-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 LILLIAN DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381094431",
            "telephone_number": "901-653-4136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "SANDRA",
        "middle_name": "DEE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-08",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "03447713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.