Individual provider Active NPI

Jessica Lynn Vinas, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1528555406
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23917 Issued in TN
Practice address
806 S Cooper St
Memphis, TN 38104-5406
Phone
(901) 896-0739
Fax
(833) 695-8358
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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 23917 TN Primary

Addresses

Primary practice location

806 S Cooper St
Memphis, TN 38104-5406

Mailing address

806 S Cooper St
Memphis, TN 38104-5406
Phone (901) 896-0739

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
I20180917001548 TN Practitioner - Nurse Practitioner 8022369982 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consolidated Medical Practices of Memphis,PLLCGroup PAC ID 1759459845, 113 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2584
Phone (901) 261-0700

8059 Stage Hills Blvd
Suite 104
Bartlett, TN 38133-4071
Phone (901) 383-4515

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nashville Cares CurrentSince Aug 10, 2021 Accepting new patients
Consolidated Medical Practices of Memphis,PLLC CurrentSince Jun 19, 2023 Accepting new patients
Friends for Life Corporation CurrentSince Aug 10, 2021 Accepting new patients

Locations

3025 Kate Bond Rd
Bartlett, TN 38133
Phone (901) 384-0065

806 S Cooper St
Memphis, TN 38104
Phone (901) 896-0739

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1528555406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 S COOPER ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045406",
            "telephone_number": "901-896-0739",
            "fax_number": "833-695-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 S COOPER ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045406",
            "telephone_number": "901-896-0739",
            "fax_number": "833-695-8358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINAS",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.