Individual provider Active NPI

Tanya K McCaskill, MSN, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1396383238
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
30082 Issued in TN
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

Updated by the provider on Sep 29, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211112001376 MS Practitioner - Nurse Practitioner 8123216892 Reassigns benefits to 3 organizations
I20221102001622 TN Practitioner - Nurse Practitioner 8123216892 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
874022TXMDAdministrator Registered Nurse
904810MSMDFamily Nurse Practitioner
30082TNMDFamily Nurse Practitioner
1049939TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Triumph Agility Care, LLC Family CurrentSince Oct 12, 2022 Accepting new patients
Southeastern Physician Services PC CurrentSince Nov 18, 2023 Accepting new patients
Centered Approach to Modern Wellness, LLC Family CurrentSince Jan 1, 2022 Accepting new patients
Total Extended Care Services PC CurrentSince Sep 1, 2024 Accepting new patients
Community Care Health Network LLC CurrentSince Mar 4, 2024 Accepting new patients
Hospice of Hope-Tennessee CurrentSince Jul 12, 2024 Accepting new patients
Signify Health, LLC CurrentSince Jan 5, 2023 Accepting new patients
Fast Pace Mississippi, PLLC Family CurrentSince Nov 1, 2021 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Nov 1, 2021 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.

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

Verify at the official NPI Registry.