Individual provider Active NPI

Rateesha Q Bonds, APN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1306316997
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24578 Issued in TN
Practice address
1325 Eastmoreland Ave Ste 445
Memphis, TN 38104-7536
Phone
(901) 866-8810
Fax
(901) 302-2450
NPI assigned
Nov 27, 2018
Last updated
Feb 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 24578 TN Primary

Addresses

Primary practice location

1325 Eastmoreland Ave Ste 445
Memphis, TN 38104-7536

Mailing address

1068 Cresthaven Rd Ste 300
Memphis, TN 38119-0809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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
I20190108000242 TN Practitioner - Nurse Practitioner 9032455316 Reassigns benefits to 1 organization
I20220517000961 MS Practitioner - Nurse Practitioner 9032455316 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
Ut Medical Group IncGroup PAC ID 3173435369, 98 clinicians

Practice addresses (Care Compare)

1325 Eastmoreland Ave
Suite 445
Memphis, TN 38104-7536
Phone (901) 866-8810

6490 Mount Moriah Rd Ext
Suite 202
Memphis, TN 38115-3841
Phone (901) 866-8425

7318 Southcrest Pkwy
Southaven, MS 38671-4773
Phone (901) 866-8810

930 Madison Ave
Memphis, TN 38103-3410

Merit-based Incentive Payment System (MIPS)

Final score
88.15 of 100Reported as group
Quality
59.97
Promoting interoperability
100
Improvement activities
40
Cost
80.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24578TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group, Inc. CurrentSince Aug 11, 2021 Accepting new patients
Ut Medical Group Inc CurrentSince Aug 11, 2021 Accepting new patients

Locations

4250 Bethel Rd
Olive Branch, MS 38654
Phone (662) 932-9000

7318 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-2548

1068 Cresthaven Rd
Ste 300
Memphis, TN 38119
Phone (901) 683-0024

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1265 Union Ave
Memphis, TN 38104
Phone (901) 516-2362

1300 Wesley Dr
Memphis, TN 38116
Phone (901) 516-3700

1325 Eastmoreland Ave
Ste 445
Memphis, TN 38104
Phone (901) 569-0519

1407 Union Ave
Ste 700
Memphis, TN 38104
Phone (901) 866-8360

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

930 Madison Ave
Ste 200
Memphis, TN 38103
Phone (901) 448-6650

Organizations & group practices 2

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": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1306316997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1068 CRESTHAVEN RD STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 EASTMORELAND AVE STE 445",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047536",
            "telephone_number": "901-866-8810",
            "fax_number": "901-302-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONDS",
        "first_name": "RATEESHA",
        "middle_name": "Q",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-27",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.