Active NPI
New Vision Psychiatry
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
National Provider Identifier
1346952215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NEW VISION PSYCHIATRY
- Practice address
- 4646 Poplar Ave Ste 420
Memphis, TN 38117-4434 - Phone
- (901) 467-2622
- Fax
- (901) 467-2677
- NPI assigned
- Dec 22, 2022
- Last updated
- Dec 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brittany Sade Moten, NP
- Title
- Mental Health Nurse Practitioner
- Phone
- (901) 467-2622
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4646 Poplar Ave Ste 420
Memphis, TN 38117-4434
Mailing address
4646 Poplar Ave Ste 420
Memphis, TN 38117-4434
Phone (901) 467-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4646 Poplar Ave
Ste 420
Memphis, TN 38117
Phone (901) 467-2622
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
- NPI 1154771541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671667200000",
"number": "1346952215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 POPLAR AVE STE 420",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174434",
"telephone_number": "901-467-2622",
"fax_number": "901-467-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 POPLAR AVE STE 420",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381174434",
"telephone_number": "901-467-2622",
"fax_number": "901-467-2677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISION PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-22",
"last_updated": "2022-12-22",
"certification_date": "2022-12-22",
"status": "A",
"authorized_official_last_name": "MOTEN",
"authorized_official_first_name": "BRITTANY",
"authorized_official_middle_name": "SADE",
"authorized_official_title_or_position": "MENTAL HEALTH NURSE PRACTITIONER",
"authorized_official_telephone_number": "901-467-2622",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.