Individual provider Active NPI

Adeline Nezifort, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1285297648
Registry record updated Apr 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000025668 Issued in TN
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

Updated by the provider on Apr 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
11000883OtherFLBOARD OF NURSING
0000025668OtherTNADVANCED PRACTICE REGISTERED NURSE

Other names 1

  • Adeline Nezifort Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200701002431 FL Practitioner - Nurse Practitioner 7618390014 Reassigns benefits to 1 organization
I20250528003164 CA Practitioner - Nurse Practitioner 7618390014 Reassigns benefits to 1 organization

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
Infusion Express of California IncGroup PAC ID 2365720604, 24 clinicians

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

LicenseStateTypeSpecialty
11000883FLMDFamily Nurse Practitioner
00000256686TNMDFamily Nurse Practitioner
APN0000025668TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mini Health Clinic of the Palm Beaches, LLC Family Current Accepting new patients
Infusion Express of California Inc CurrentSince May 12, 2025 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.

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

Verify at the official NPI Registry.