Individual provider Active NPI

Tiffany Hunt Kinard, FNP-C

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1649733502
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25100 Issued in TN
Practice address
786 N Germantown Pkwy
Cordova, TN 38018-6212
Phone
(901) 755-7696
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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 25100 TN Primary

Addresses

Primary practice location

786 N Germantown Pkwy
Cordova, TN 38018-6212

Mailing address

8695 Cedar Lake Dr E
Walls, MS 38680-8820
Phone (601) 842-8235

Other practice location 1

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

Other practice location 2

3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone (901) 515-4800

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
I20191231000861 TN Practitioner - Nurse Practitioner 7911331889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ut Regional One Physicians IncGroup PAC ID 5698993418, 314 clinicians

Practice addresses (Care Compare)

3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone (901) 458-0162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.97 of 100Reported as group
Quality
64.58
Improvement activities
40
Cost
77.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25100TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Regional One Physicians Inc CurrentSince Jul 1, 2022 Accepting new patients
Ut Regional One Physicians Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

3109 Walnut Grove Rd
Memphis, TN 38111
Phone (901) 458-0162

6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085

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.

Hospital & facility affiliations 1

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1649733502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 CEDAR LAKE DR E",
            "city": "WALLS",
            "state": "MS",
            "postal_code": "386808820",
            "telephone_number": "601-842-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 N GERMANTOWN PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186212",
            "telephone_number": "901-755-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7945 Wolf River Blvd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "TN",
            "postal_code": "381381762",
            "country_code": "US",
            "telephone_number": "901-683-0055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3109 Walnut Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381113509",
            "country_code": "US",
            "telephone_number": "901-515-4800",
            "fax_number": "901-458-0105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINARD",
        "first_name": "TIFFANY",
        "middle_name": "HUNT",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.