Individual provider Active NPI

Stephanie Danielle Jones Bland, FNP

  • Family Nurse Practitioner
  • Germantown, TN
National Provider Identifier
1487380473
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
32045 Issued in TN
Practice address
9155 Poplar Ave Ste 27
Germantown, TN 38138-7910
Phone
(901) 545-2282
Fax
(888) 714-0072
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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 32045 TN Primary

Addresses

Primary practice location

9155 Poplar Ave Ste 27
Germantown, TN 38138-7910

Mailing address

4191 Lansdowne Dr
Memphis, TN 38128-3360
Phone (901) 500-8483

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
I20230502001344 TN Practitioner - Nurse Practitioner 6204291958 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Total Extended Care Services PCGroup PAC ID 9133029127, 29 clinicians
SNF Wound CareGroup PAC ID 1759699176, 28 clinicians

Practice addresses (Care Compare)

616 W Forest Ave
Jackson, TN 38301-3902
Phone (731) 574-3000

765 Bert Johnston Ave
Covington, TN 38019-2414
Phone (833) 379-6863

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meharry Health Network, PC CurrentSince Oct 1, 2023 Accepting new patients
Total Extended Care Services PC CurrentSince Feb 1, 2025 Accepting new patients
Meharry Health Network, PC CurrentSince Oct 1, 2023 Accepting new patients
NP Health of TN PLLC CurrentSince Apr 1, 2023 Accepting new patients
Old Mission Wound Care Tennessee PLLC CurrentSince Nov 3, 2025 Accepting new patients
SNF Wound Care CurrentSince Jun 22, 2025 Accepting new patients

Locations

8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

18312 Middlebelt Rd
Livonia, MI 48152
Phone (248) 426-9944

1536 Appling Care Ln
Cordova, TN 38016
Phone (901) 385-1803

765 Bert Johnston Ave
Covington, TN 38019
Phone (731) 612-4202

9155 Poplar Ave
Ste 27
Germantown, TN 38138
Phone (866) 364-8944

616 W Forest Ave
Jackson, TN 38301
Phone (731) 422-0330

5070 Sanderlin Ave
Memphis, TN 38117
Phone (901) 682-5677

6500 Kirby Gate Blvd
Memphis, TN 38119
Phone (901) 230-2232

438 N Cleveland St
Memphis, TN 38104
Phone (866) 364-8944

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

225 Matlage Way
Unit 31
Sugar Land, TX 77487

Organizations & group practices 6

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": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1487380473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 LANSDOWNE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381283360",
            "telephone_number": "901-500-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9155 POPLAR AVE STE 27",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387910",
            "telephone_number": "901-545-2282",
            "fax_number": "888-714-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAND",
        "first_name": "STEPHANIE",
        "middle_name": "DANIELLE JONES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "32045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

Verify at the official NPI Registry.