Individual provider Active NPI

Lesley Morgan Wingfield, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1558875666
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23487 Issued in TN
Practice address
6500 Kirby Gate Blvd
Memphis, TN 38119-2673
Phone
(901) 842-1473
Fax
(901) 844-1439
NPI assigned
Nov 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 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 23487 TN Primary

Addresses

Primary practice location

6500 Kirby Gate Blvd
Memphis, TN 38119-2673

Mailing address

2257 N Germantown Pkwy Ste 112
Cordova, TN 38016-7412
Phone (901) 922-5425

Other practice location 1

2257 N Germantown Pkwy Ste 112
Cordova, TN 38016-7412
Phone (901) 842-1473

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
I20200326002710 TN Practitioner - Nurse Practitioner 7315376365 Practice locations: Memphis, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23487TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1558875666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N GERMANTOWN PKWY STE 112",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167412",
            "telephone_number": "901-922-5425",
            "fax_number": "901-842-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 KIRBY GATE BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381192673",
            "telephone_number": "901-842-1473",
            "fax_number": "901-844-1439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2257 N Germantown Pkwy Ste 112",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380167412",
            "country_code": "US",
            "telephone_number": "901-842-1473",
            "fax_number": "901-844-1439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINGFIELD",
        "first_name": "LESLEY",
        "middle_name": "MORGAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-28",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.