Individual provider Active NPI

Leanna R Fendley, APN

  • Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1376823377
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15892 Issued in TN
Practice address
7205 Wolf River Blvd Ste 200
Germantown, TN 38138-1777
Phone
(901) 227-8950
Fax
(901) 227-8951
NPI assigned
Aug 22, 2011
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 147211 TN
Nurse Practitioner 363L00000X 810556 MS
Adult Health Nurse Practitioner 363LA2200X 15892 TN
Nurse Practitioner 363L00000X 15892 TN Primary

Addresses

Primary practice location

7205 Wolf River Blvd Ste 200
Germantown, TN 38138-1777

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (901) 227-7015

Other practice location 1

6215 Humphreys Blvd Ste 209
Memphis, TN 38120-2382
Phone (901) 227-8950

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
I20110914000479 TN Practitioner - Nurse Practitioner 3173794633 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6215 Humphreys Blvd
Suite 208
Memphis, TN 38120-2382
Phone (901) 227-8950

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
147211TNMDRegistered Nurse
810556MSMDNurse Practitioner
15892TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Aug 1, 2018 Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Aug 1, 2018 Accepting new patients
BMC - Attala, LLC PastSince Mar 31, 2024 Accepting new patients
MSK Group PC Past Accepting new patients
Medical Foundation of Central Mississippi, Inc. PastSince Mar 31, 2024 Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

7205 Wolf River Blvd
Ste 200
Germantown, TN 38138
Phone (901) 227-8950

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

6215 Humphreys Blvd
Ste 209
Memphis, TN 38120
Phone (901) 227-8950

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

6215 Humphreys Blvd
Ste 208
Memphis, TN 38120
Phone (901) 227-8950

Interoperability endpoints

  • Direct secure messaging: lfendley11948@direct.bmhcc.org

Organizations & group practices 5

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 5

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1376823377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-7015",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7205 WOLF RIVER BLVD STE 200",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381777",
            "telephone_number": "901-227-8950",
            "fax_number": "901-227-8951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6215 Humphreys Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381202382",
            "country_code": "US",
            "telephone_number": "901-227-8950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENDLEY",
        "first_name": "LEANNA",
        "middle_name": "R",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "147211",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "810556",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "15892",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.