Individual provider Active NPI

Robyn Y. Vanderford, FNP

  • Family Nurse Practitioner
  • Covington, TN
National Provider Identifier
1437334216
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000013123 Issued in TN
Practice address
899 Highway 51 S
Covington, TN 38019-2568
Phone
(901) 244-4646
Fax
(901) 244-4647
NPI assigned
Dec 29, 2007
Last updated
Jun 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X APN0000013123 TN Primary

Addresses

Primary practice location

899 Highway 51 S
Covington, TN 38019-2568

Mailing address

115 S Munford St
Covington, TN 38019-2527
Phone (901) 244-4648

Other identifiers 1

IdentifierTypeStateIssuer
Q021158MedicaidTN

Other names 1

  • Mrs. Robyn Y. Nelson Other name

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
I20160330002504 TN Practitioner - Nurse Practitioner 6305065962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lunceford Family Health Center P.C.Group PAC ID 9931165636, 3 clinicians

Practice addresses (Care Compare)

7865 Educators LN
Suite 110
Memphis, TN 38133-8191
Phone 9013849920405

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN0000013123TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lunceford Family Health Center P.C. Multi-Specialty CurrentSince Aug 28, 2023 Accepting new patients
Emergency Coverage, LLC Multi-Specialty CurrentSince Apr 1, 2025 Accepting new patients

Locations

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

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

Interoperability endpoints

  • Direct secure messaging: robyn.vanderford.p1@direct.luncefordfamily.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1198886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1437334216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S MUNFORD ST",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192527",
            "telephone_number": "901-244-4648",
            "fax_number": "901-244-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380192568",
            "telephone_number": "901-244-4646",
            "fax_number": "901-244-4647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERFORD",
        "first_name": "ROBYN",
        "middle_name": "Y.",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-29",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q021158",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "NELSON",
            "middle_name": "Y.",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Covington, TN

Sources for this page

Verify at the official NPI Registry.