Individual provider Active NPI

Cheryl Beene, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1609302546
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24121 Issued in TN
Practice address
1211 Union Ave Ste 475
Memphis, TN 38104
Phone
(901) 274-2643
Fax
(901) 726-4237
NPI assigned
May 11, 2017
Last updated
Jun 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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 A005145 AR
Family Nurse Practitioner 363LF0000X 24121 TN Primary

Addresses

Primary practice location

1211 Union Ave Ste 475
Memphis, TN 38104

Mailing address

P O Box 1000 Dept 960
Memphis, TN 38148-0001
Phone (901) 763-0200

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
I20180806002652 TN Practitioner - Nurse Practitioner 4789951393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physician Group LLCGroup PAC ID 9537291323, 101 clinicians

Practice addresses (Care Compare)

1211 Union Ave
Suite 400
Memphis, TN 38104-6656
Phone (901) 478-0650

7460 Wolf River Blvd
Germantown, TN 38138-1760
Phone (901) 763-0200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A005145ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Physician Group LLC Family CurrentSince Jun 25, 2018 Accepting new patients
Arrhythmia Consultants, PC Past Accepting new patients

Locations

900 N 7th St
West Memphis, AR 72301
Phone (870) 735-3842

1211 Union Ave
Ste 400
Memphis, TN 38104
Phone (901) 478-0650

1211 Union Ave
Ste 475
Memphis, TN 38104
Phone (901) 274-2643

7460 Wolf River Blvd
Memphis, TN 38138
Phone (901) 516-6792

Interoperability endpoints

  • Direct secure messaging: cbeene23780@mlh.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1609302546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1000 DEPT 960",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480001",
            "telephone_number": "901-763-0200",
            "fax_number": "901-761-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 475",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-274-2643",
            "fax_number": "901-726-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEENE",
        "first_name": "CHERYL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.