Individual provider Active NPI

Angela Lois Reardon, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1457831794
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24521 Issued in TN
Practice address
80 Humphreys Center Dr Ste 200
Memphis, TN 38120-2352
Phone
(901) 761-3900
Fax
(901) 578-2572
NPI assigned
Aug 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24521 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 200
Memphis, TN 38120-2352

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

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
I20181215000578 TN Practitioner - Nurse Practitioner 5991040172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists Foundation, Inc.Group PAC ID 9830334010, 18 clinicians

Practice addresses (Care Compare)

80 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2352
Phone (901) 761-3900

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
90.53
Promoting interoperability
100
Improvement activities
40
Cost
85.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince May 7, 2019 Accepting new patients
Gastrointestinal Specialists Foundation, Inc Family CurrentSince Sep 1, 2018 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince May 7, 2019 Accepting new patients

Locations

401 Southcrest Cir
Ste 203
Southaven, MS 38671
Phone (662) 775-4025

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

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

1500 W Poplar Ave
Ste 206
Collierville, TN 38017
Phone (901) 227-4067

1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305

1995 Highway 51 S
Ste 111
Covington, TN 38019
Phone (901) 475-6607

1995 Highway 51 S
Ste 106
Covington, TN 38019
Phone 6153403436 ext. 102

80 Humphreys Center Dr
Ste 200
Memphis, TN 38120
Phone (901) 578-2538

350 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 226-4003

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

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

7777 Church St
Millington, TN 38053
Phone (901) 872-2020

Organizations & group practices 3

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1457831794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202352",
            "telephone_number": "901-761-3900",
            "fax_number": "901-578-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "ANGELA",
        "middle_name": "LOIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.