Individual provider Active NPI

Jessica Monteath, NP

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1548863582
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
27217 Issued in TN
Practice address
3445 Poplar Ave Ste 18
Memphis, TN 38111-4667
Phone
(901) 417-6551
NPI assigned
Nov 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 27217 TN Primary

Addresses

Primary practice location

3445 Poplar Ave Ste 18
Memphis, TN 38111-4667

Mailing address

2876 Cross Country Dr
Germantown, TN 38138-7136
Phone (662) 444-1414

Other practice location 1

1213 Ridgeway Rd Ste 104
Memphis, TN 38119-5316
Phone (901) 509-8205

Other practice location 2

1020 W Poplar Ave Ste 102
Collierville, TN 38017-4208
Phone (901) 673-4015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
27217TNMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1548863582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 CROSS COUNTRY DR",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381387136",
            "telephone_number": "662-444-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 POPLAR AVE STE 18",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114667",
            "telephone_number": "901-417-6551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 Ridgeway Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381195316",
            "country_code": "US",
            "telephone_number": "901-509-8205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1020 W Poplar Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380174208",
            "country_code": "US",
            "telephone_number": "901-673-4015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEATH",
        "first_name": "JESSICA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27217",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 11, 2024; 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.