Individual provider Active NPI

Stephanie Nicole Taimanglo, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1609683580
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
38231 Issued in TN
Practice address
6000 Poplar Ave
Memphis, TN 38119-3981
Phone
(574) 546-1900
Fax
(574) 546-1999
NPI assigned
Dec 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 216500 TN
Nurse Practitioner 363L00000X 38231 TN
Family Nurse Practitioner 363LF0000X 38231 TN Primary

Addresses

Primary practice location

6000 Poplar Ave
Memphis, TN 38119-3981

Mailing address

PO Box 207
Erin, TN 37061-0207

Other practice location 1

2501 River Rd
Ashland City, TN 37015-5402
Phone (888) 837-5440

Other practice location 2

198 Old Farmers Rd
Clarksville, TN 37043-4032
Phone (888) 837-5440

Other practice location 3

278 Rocky Hollow Rd
Erin, TN 37061-6053
Phone (888) 837-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 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
I20250326001618 TN Practitioner - Nurse Practitioner 6406379874 Reassigns benefits to 1 organization
I20260224004226 TX Practitioner - Nurse Practitioner 6406379874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care 2 U, LLCGroup PAC ID 7012344807, 29 clinicians
Guidestar Eldercare - TN, PCGroup PAC ID 8527413517, 20 clinicians

Practice addresses (Care Compare)

1000 Legacy Ranch Rd
Waxahachie, TX 75165-1293
Phone (877) 868-2528

6000 Poplar Ave
Suite 250
Memphis, TN 38119-3974
Phone (574) 546-1900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
216500TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care 2 U, LLC CurrentSince Feb 16, 2026 Accepting new patients
Guidestar Eldercare - TN, P.C. Nurse Practitioner CurrentSince Feb 18, 2025 Accepting new patients

Locations

2501 River Rd
Ashland City, TN 37015
Phone (615) 792-1911

220 Highway 76
Clarksville, TN 37043
Phone (931) 552-0181

278 Rocky Hollow Rd
Erin, TN 37061
Phone (931) 289-4141

6000 Poplar Ave
Memphis, TN 38119
Phone (901) 292-7020

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

1000 Legacy Ranch Rd
Waxahachie, TX 75165
Phone (877) 868-2527

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1609683580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ERIN",
            "state": "TN",
            "postal_code": "370610207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193981",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 River Rd",
            "address_purpose": "LOCATION",
            "city": "Ashland City",
            "state": "TN",
            "postal_code": "370155402",
            "country_code": "US",
            "telephone_number": "888-837-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "198 Old Farmers Rd",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "TN",
            "postal_code": "370434032",
            "country_code": "US",
            "telephone_number": "888-837-5440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "278 Rocky Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Erin",
            "state": "TN",
            "postal_code": "370616053",
            "country_code": "US",
            "telephone_number": "888-837-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAIMANGLO",
        "first_name": "STEPHANIE",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-14",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "216500",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "38231",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "38231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.