Individual provider Active NPI

Stella E Nwokeji, PHD, NP-BC

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1316119118
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0000012211 Issued in TN
Practice address
6575 Quail Pointe Cir S
Memphis, TN 38120-1332
Phone
(901) 758-1675
NPI assigned
Apr 1, 2008
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN0000012211 TN Primary

Addresses

Primary practice location

6575 Quail Pointe Cir S
Memphis, TN 38120-1332

Mailing address

1779 Kirby Pkwy # 1-72
Germantown, TN 38138-3666
Phone (901) 758-1675

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
I20080516000462 TN Practitioner - Nurse Practitioner 0345319356 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
APN0000012211TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pediatric and Family Clinic CurrentSince Nov 3, 2024 Accepting new patients
Saint Francis Physician Network, LLC Current Accepting new patients
Adult Primary Care of Memphis PC CurrentSince Apr 1, 2022 Accepting new patients
Phillip R. Bowden, M.D.,P.a. CurrentSince Nov 10, 2014 Accepting new patients
Ihms Healthcare Incorporated Nurse Practitioner PastSince Mar 1, 2024 Accepting new patients
Total Care Medical Services Past Accepting new patients

Locations

1779 Kirby Pkwy
#172
Germantown, TN 38138

1028 Cresthaven Rd
Ste 100
Memphis, TN 38119
Phone (901) 249-7490

1417 Monroe Ave
Memphis, TN 38104
Phone (901) 272-7200

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

Organizations & group practices 6

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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1316119118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY # 1-72",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383666",
            "telephone_number": "901-758-1675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6575 QUAIL POINTE CIR S",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381201332",
            "telephone_number": "901-758-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWOKEJI",
        "first_name": "STELLA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD, NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000012211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.