Individual provider Active NPI

Natalie Staten

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1265081574
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26292 Issued in TN
Practice address
7651 Shelby Forest CV
Memphis, TN 38125-2822
Phone
(870) 243-3082
NPI assigned
Sep 9, 2019
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 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 26292 TN Primary

Addresses

Primary practice location

7651 Shelby Forest CV
Memphis, TN 38125-2822

Mailing address

6799 Great Oaks Rd
Ste 200
Memphis, TN 38138-2581

Other practice location 1

490 W Poplar Ave
Collierville, TN 38017-2538
Phone (731) 394-1145

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211118003042 TN Practitioner - Nurse Practitioner 5698164200 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Community Health Center CurrentSince Jun 16, 2025 Accepting new patients
The Little Clinic of Tennessee LLC Family CurrentSince May 6, 2022 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Dec 15, 2021 Accepting new patients
Cocaine and Alcohol Awareness Program, Inc. Past Accepting new patients

Locations

3685 S Houston Levee Rd
Collierville, TN 38017
Phone (901) 457-2933

3839 Lamar Ave
Memphis, TN 38118
Phone (901) 360-0442

4041 Knight Arnold Rd
Memphis, TN 38118
Phone (901) 572-1573

4041 Knight Arnold Rd
Ste 100
Memphis, TN 38118
Phone (901) 360-0442

6799 Great Oaks Rd
Ste 200
Memphis, TN 38138
Phone (901) 259-0090

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD
  • Direct secure messaging: natilie.statenfnp.p1@direct.tristatechc.nextgenshare.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.

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1265081574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD",
            "address_2": "STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7651 SHELBY FOREST CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381252822",
            "telephone_number": "870-243-3082"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "490 W Poplar Ave",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380172538",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATEN",
        "first_name": "NATALIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.