Individual provider Active NPI

Vanessa Williams, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1548412505
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000013626 Issued in TN
Practice address
6005 Park Ave Ste 1010B
Memphis, TN 38119-5229
Phone
(901) 765-3040
Fax
(901) 765-3049
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP033719 PA
Family Nurse Practitioner 363LF0000X APN0000013626 TN Primary

Addresses

Primary practice location

6005 Park Ave Ste 1010B
Memphis, TN 38119-5229

Mailing address

6005 Park Ave Ste 112
Memphis, TN 38119-5240
Phone (901) 765-3040

Other practice location 1

1991 Sproul Rd Ste 200
Broomall, PA 19008-3518
Phone (484) 476-6320

Other practice location 2

9947 Wolf River Blvd Ste 110
Germantown, TN 38139-5559
Phone (901) 341-4985

Other identifiers 1

IdentifierTypeStateIssuer
1510740MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090114000086 TN Practitioner - Nurse Practitioner 7113080359 Reassigns benefits to 1 organization
I20260609000409 PA Practitioner - Nurse Practitioner 7113080359

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Physician Network, LLCGroup PAC ID 2365701943, 74 clinicians

Practice addresses (Care Compare)

6005 Park Ave
Suite 200
Memphis, TN 38119-5212
Phone (901) 761-2100

Merit-based Incentive Payment System (MIPS)

Final score
85.82 of 100Reported as group
Quality
69.44
Promoting interoperability
100
Improvement activities
40
Cost
83.28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13626TNMDPhysical Therapist
APN0000013626TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Blakney Current Accepting new patients
Saint Francis Physician Network, LLC CurrentSince Feb 5, 2018 Accepting new patients
SFMP, Inc. Past Accepting new patients

Locations

9947 Wolf River Blvd
Ste 110
Germantown, TN 38139
Phone (901) 341-4985

6005 Park Ave
Ste 1010B
Memphis, TN 38119
Phone (901) 765-3040

6005 Park Ave
Ste 200
Memphis, TN 38119
Phone (901) 761-2100

6005 Park Ave
Ste 601
Memphis, TN 38119
Phone (901) 680-9205

6005 Park Ave
Ste 323B
Memphis, TN 38119
Phone (901) 756-6991

6005 Park Ave
Ste 112
Memphis, TN 38119
Phone (901) 761-5885

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1548412505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195240",
            "telephone_number": "901-765-3040",
            "fax_number": "901-765-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 PARK AVE STE 1010B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381195229",
            "telephone_number": "901-765-3040",
            "fax_number": "901-765-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1991 Sproul Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190083518",
            "country_code": "US",
            "telephone_number": "484-476-6320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9947 Wolf River Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381395559",
            "country_code": "US",
            "telephone_number": "901-341-4985",
            "fax_number": "901-646-7348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "VANESSA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033719",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000013626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510740",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.