Individual provider Active NPI

Emilie Margaret Ball, NP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1487994265
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17013 Issued in TN
Practice address
4095 American Way
Suite 1
Memphis, TN 38118-8339
Phone
(901) 271-9500
Fax
(901) 271-9501
NPI assigned
Feb 15, 2013
Last updated
Mar 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0001201480 VA
Nurse Practitioner 363L00000X 17013 TN Primary

Addresses

Primary practice location

4095 American Way
Suite 1
Memphis, TN 38118-8339

Mailing address

4095 American Way
Suite 1
Memphis, TN 38118-8339
Phone (901) 271-9500

Other identifiers 1

IdentifierTypeStateIssuer
Q000690MedicaidTN

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
I20130510000357 TN Practitioner - Nurse Practitioner 7012154099 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001201480VAMDRegistered Nurse
17013TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Health Systems CurrentSince Jun 27, 2016 Accepting new patients
Christ Community Health Services, Inc CurrentSince Aug 28, 2020 Accepting new patients
Southeastern Emergency Services P C Nurse Practitioner CurrentSince May 1, 2018 Accepting new patients
Cherokee Health Systems CurrentSince Jun 27, 2016 Accepting new patients
Christ Community Health Services Inc Current Accepting new patients

Locations

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

1325 Jefferson Ave
Memphis, TN 38104
Phone (901) 701-2530

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

3206 Poplar Ave
Memphis, TN 38111
Phone (901) 531-6321

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

4095 American Way
Ste 1
Memphis, TN 38118
Phone (901) 271-9500

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Organizations & group practices 5

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": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1487994265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 AMERICAN WAY",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381188339",
            "telephone_number": "901-271-9500",
            "fax_number": "901-271-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 AMERICAN WAY",
            "address_2": "SUITE 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381188339",
            "telephone_number": "901-271-9500",
            "fax_number": "901-271-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALL",
        "first_name": "EMILIE",
        "middle_name": "MARGARET",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-15",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001201480",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000690",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.