NPIMap

Individual provider Active NPI

Kathy Joann Banks, FNP

  • Nurse Practitioner
  • Collierville, TN
National Provider Identifier
1346593035
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17085 Issued in TN
Practice address
853 W Poplar Ave
Collierville, TN 38017-2545
Phone
(901) 850-8351
Fax
(901) 266-4061
NPI assigned
Oct 18, 2012
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17085 TN Primary
Nurse Practitioner 363L00000X 810540 MS
Family Nurse Practitioner 363LF0000X 1-054361 AL
Family Nurse Practitioner 363LF0000X 78418 TN

Addresses

Primary practice location

853 W Poplar Ave
Collierville, TN 38017-2545

Mailing address

779 W Powell Rd
Collierville, TN 38017-1346
Phone (901) 550-8167

Other practice location 1

7424 U.S. 64
Barlett, TN 38133
Phone (901) 385-7817

Other names 1

  • Mrs. Kathy Powell Banks Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130424000676 TN Practitioner - Nurse Practitioner 9234375957 Reassigns benefits to 1 organization
I20170224000595 AL Practitioner - Nurse Practitioner 9234375957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

1941 S Germantown Rd
Suite 103
Germantown, TN 38138-2862
Phone (901) 624-6055

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
810540MSMDNurse Practitioner
78418TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Physician Network, LLC CurrentSince Sep 13, 2022 Accepting new patients
Memphis Urgent Care #2, LLC. PastSince Feb 14, 2021 Accepting new patients

Locations

790 W Poplar Ave
Collierville, TN 38017
Phone (901) 853-9700

1941 S Germantown Rd
Ste 103
Germantown, TN 38138
Phone (901) 624-6055

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

Interoperability endpoints

  • Direct secure messaging: kathy.banks.2@16700.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1346593035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 W POWELL RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380171346",
            "telephone_number": "901-550-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 W POPLAR AVE",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172545",
            "telephone_number": "901-850-8351",
            "fax_number": "901-266-4061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7424 U.S. 64",
            "address_purpose": "LOCATION",
            "city": "Barlett",
            "state": "TN",
            "postal_code": "38133",
            "country_code": "US",
            "telephone_number": "901-385-7817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "KATHY",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17085",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "810540",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-054361",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "78418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "BANKS",
            "middle_name": "POWELL",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Collierville, TN

Sources for this page

Verify at the official NPI Registry.