Active NPI
Adeline Nezifort, APRN
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN0000025668
- Practice address
- 3718 Round Rock CV Apt 308
Memphis, TN 38125-4061 - Phone
- (561) 563-9565
- NPI assigned
- Apr 20, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11000883 | FL | |
| Family Nurse Practitioner | 363LF0000X | 00000256686 | TN | |
| Family Nurse Practitioner | 363LF0000X | APN0000025668 | TN | Primary |
Addresses
Primary practice location
3718 Round Rock CV Apt 308
Memphis, TN 38125-4061
Mailing address
3718 Round Rock CV Apt 308
Memphis, TN 38125-4061
Phone (561) 563-9565
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11000883 | Other | FL | BOARD OF NURSING |
| 0000025668 | Other | TN | ADVANCED PRACTICE REGISTERED NURSE |
Other names 1
- Adeline Nezifort
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2039 Camden Ave
San Jose, CA 95124-2024
Phone (408) 854-5566
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11000883 | FL | MD | Family Nurse Practitioner |
| 00000256686 | TN | MD | Family Nurse Practitioner |
| APN0000025668 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mini Health Clinic of the Palm Beaches, LLC | Family | Current | Accepting new patients |
| Infusion Express of California Inc | Current | Accepting new patients | |
| Cure Path Wellness LLC | Current | Accepting new patients |
Locations
2039 Camden Ave
San Jose, CA 95124
Phone (408) 854-5566
66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114
717 E El Camino Real
Ste 5
Sunnyvale, CA 94087
Phone (408) 228-3700
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.
-
- Infusion Therapy Clinic/Center
- Fremont, CA
- NPI 1447604525
-
- Family Nurse Practitioner
- West Palm Beach, FL
- NPI 1851228506
-
- Primary Care Clinic/Center
- Wellington, FL
- NPI 1790623882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555718400000",
"number": "1285297648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 ROUND ROCK CV APT 308",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254061",
"telephone_number": "561-563-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3718 ROUND ROCK CV APT 308",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381254061",
"telephone_number": "561-563-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEZIFORT",
"first_name": "ADELINE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-20",
"last_updated": "2019-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11000883",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "00000256686",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN0000025668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF NURSING",
"identifier": "11000883",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADVANCED PRACTICE REGISTERED NURSE",
"identifier": "0000025668",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADELINE",
"last_name": "NEZIFORT",
"code": "2",
"type": "Professional Name"
}
]
}
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 20, 2019; 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.