Active NPI
Tanya K McCaskill, MSN, FNP
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 30082
- Practice address
- 3385 Airways Blvd Ste 219
Memphis, TN 38116-3808 - Phone
- (901) 205-9534
- Fax
- (833) 471-4041
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 874022 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1049939 | TX | |
| Family Nurse Practitioner | 363LF0000X | 904810 | MS | |
| Family Nurse Practitioner | 363LF0000X | 30082 | TN | Primary |
Addresses
Primary practice location
3385 Airways Blvd Ste 219
Memphis, TN 38116-3808
Mailing address
3385 Airways Blvd Ste 219
Memphis, TN 38116-3808
Phone (901) 205-9534
Other names 1
- Mrs. Tanya K McCaskill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3085 Fountainside Dr
Suite 210
Germantown, TN 38138-7843
Phone (901) 560-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 874022 | TX | MD | Administrator Registered Nurse |
| 904810 | MS | MD | Family Nurse Practitioner |
| 30082 | TN | MD | Family Nurse Practitioner |
| 1049939 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph Agility Care, LLC | Family | Current | Accepting new patients |
| Southeastern Physician Services PC | Current | Accepting new patients | |
| Centered Approach to Modern Wellness, LLC | Family | Current | Accepting new patients |
| Total Extended Care Services PC | Current | Accepting new patients | |
| Community Care Health Network LLC | Current | Accepting new patients | |
| Hospice of Hope-Tennessee | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Fast Pace Mississippi, PLLC | Family | Current | Accepting new patients |
| Fast Pace Mississippi, PLLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016
1017 W Beacon St
Philadelphia, MS 39350
Phone (769) 200-0730
517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206
1900 Parr Ave
Dyersburg, TN 38024
Phone (731) 285-3886
3085 Fountainside Dr
Ste 210
Germantown, TN 38138
Phone (901) 560-3600
616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
3385 Airways Blvd
Ste 219
Memphis, TN 38116
Phone (601) 540-4386
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Germantown, TN
- NPI 1891385936
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- Physical Medicine & Rehabilitation Physician
- Englewood, OH
- NPI 1699522029
TN
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1033832514
-
- Family Nurse Practitioner
- Southaven, MS
- NPI 1346186392
-
- Rural Health Clinic/Center
- Kosciusko, MS
- NPI 1851050579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1396383238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 AIRWAYS BLVD STE 219",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381163808",
"telephone_number": "901-205-9534",
"fax_number": "833-471-4041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 AIRWAYS BLVD STE 219",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381163808",
"telephone_number": "901-205-9534",
"fax_number": "833-471-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCASKILL",
"first_name": "TANYA",
"middle_name": "K",
"credential": "MSN, FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "TX",
"license": "874022",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1049939",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "904810",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "30082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "MCCASKILL",
"middle_name": "K",
"prefix": "MRS.",
"credential": "FNP-BC",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.