Mari Jordon Iezzi, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20514 Issued in TN

Practice address

2115 Union Ave
Memphis, TN 38104-4233

Phone

(901) 274-4085

NPI assigned

Apr 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mari Jordon Underwood Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HDEADD

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.

• Honeycomb Medical Group PLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1548971450
  Medicare reassignment NPD

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306232459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3216 CHEVAL DRIVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38125",
            "telephone_number": "870-636-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044233",
            "telephone_number": "901-274-4085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 State Highway 77",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "AR",
            "postal_code": "723649027",
            "country_code": "US",
            "telephone_number": "870-559-2480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5180 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193521",
            "country_code": "US",
            "telephone_number": "870-636-3189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IEZZI",
        "first_name": "MARI",
        "middle_name": "JORDON",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AR",
            "license": "A004375",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "20514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARI",
            "last_name": "UNDERWOOD",
            "middle_name": "JORDON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elsayed Elsayed Hassan Ibrahim
• Kadija Ibrahim
• Kalid Ibrahim
• Rasmia Ibrahim
• Icp Tennessee Aco Billing LLC
• Walter C Ifeadike, MD
• Ijeoma Chinego Ifedili, ACNP-BC, CCRN
• Ikechukwu Anthony Ifedili, MD
• Masanori Igarashi, MD
• Lisa Georgina Igoni, RPH

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.