NPIMap

Organization Active NPI

Kathryn Byrd,MD,PC.

  • Medical Specialty Clinic/Center
  • Memphis, TN
National Provider Identifier
1467640045
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
20339 Issued in TN
Legal business name
KATHRYN BYRD,MD,PC.
Practice address
6401 Poplar Ave
Suite 324
Memphis, TN 38119-4823
Phone
(901) 681-9600
Fax
(901) 681-9608
NPI assigned
Oct 9, 2007
Last updated
Jul 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mrs. Kim Hurley
Title
Office Manager
Phone
(901) 681-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 20339 TN Primary

Addresses

Primary practice location

6401 Poplar Ave
Suite 324
Memphis, TN 38119-4823

Mailing address

6401 Poplar Ave
Suite 324
Memphis, TN 38119-4823
Phone (901) 681-9600

Other identifiers 2

IdentifierTypeStateIssuer
3075062MedicaidTN
F54576OtherUPIN

National Provider Directory

National Provider Directory

Locations

6401 Poplar Ave
Ste 324
Memphis, TN 38119
Phone (901) 681-9600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1467640045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE",
            "address_2": "SUITE 324",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194823",
            "telephone_number": "901-681-9600",
            "fax_number": "901-681-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 POPLAR AVE",
            "address_2": "SUITE 324",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194823",
            "telephone_number": "901-681-9600",
            "fax_number": "901-681-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN BYRD,MD,PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "HURLEY",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-681-9600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TN",
            "license": "20339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3075062",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "F54576",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.