Individual provider Active NPI

Alise Tonia Keel-Pruitt

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1427917327
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2025038902 Issued in TN
Practice address
3030 Covington Pike Ste 200
Memphis, TN 38128-5048
Phone
(901) 266-8760
NPI assigned
Jan 17, 2026
Last updated
Jan 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2025038902 TN Primary

Addresses

Primary practice location

3030 Covington Pike Ste 200
Memphis, TN 38128-5048

Mailing address

3030 Covington Pike Ste 200
Memphis, TN 38128-5048
Phone (901) 266-8760

Other practice location 1

7865 Educators Ln Ste 110
Memphis, TN 38133-8191
Phone (901) 384-9920

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
I20260323001755 TN Practitioner - Nurse Practitioner 1557845005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

125 Monterey Mills CV
Collierville, TN 38017-4137

3030 Covington Pike
Suite 100
Memphis, TN 38128-5041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025038902TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Camellia Foundation CurrentSince Feb 8, 2026 Accepting new patients
Medicos General PLLC CurrentSince Feb 8, 2026 Accepting new patients

Locations

3030 Covington Pike
Ste 100
Memphis, TN 38128
Phone (615) 277-0760

3030 Covington Pike
Ste 200
Memphis, TN 38128
Phone (901) 266-8760

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1427917327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285048",
            "telephone_number": "901-266-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285048",
            "telephone_number": "901-266-8760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7865 Educators Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381338191",
            "country_code": "US",
            "telephone_number": "901-384-9920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEL-PRUITT",
        "first_name": "ALISE",
        "middle_name": "TONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "2025038902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.