Susan B Ibrahim, CRFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN0000012438 Issued in TN

Practice address

1204 N Houston Levee Rd Ste 114
Cordova, TN 38018-6687

Phone

(901) 421-5000

NPI assigned

Jan 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN2 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

Specialty

Nurse Practitioner

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8332/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

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.

• Xpeditedcare LLC

  • Urgent Care Clinic/Center
  • Cordova, TN
  • NPI 1093558611
  Medicare reassignment NPD Authorized official
• Consolidated Medical Practices of Memphis,PLLC

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1508027491
  Medicare reassignment NPD
• Mid-South Urgent Care, PLLC

  dba OnPointe Care

  • Family Medicine Physician
  • Cordova, TN
  • NPI 1780017228
  Medicare reassignment NPD
• Mid-South Urgent Care, PLLC

  • Family Medicine Physician
  • Bartlett, TN
  • NPI 1326741844
  NPD
• Crescent Medical Inc.

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1295926590
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764979200000",
    "number": "1568511491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N HOUSTON LEVEE RD STE 114",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186687",
            "telephone_number": "901-857-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N HOUSTON LEVEE RD STE 114",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186687",
            "telephone_number": "901-421-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "SUSAN",
        "middle_name": "B",
        "credential": "CRFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-12-06",
        "certification_date": "2025-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000012438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Hulett, MS RD LDN
• Lakenya Humphrey, LCSW
• Kaelin Hurley
• Angela Hurlow
• John Robert Hutson, PHD
• Borany Kim Ieng, DNP, APRN
• Ihms Healthcare Incorporated
• Elvin David Ijams, DDS
• Imb Transport LLC
• Tarik Immanuel, NCC, LPC/MHSP (TEMP)

• Family Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.