Community Transition Nurse Care Manager, LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

COMMUNITY TRANSITION NURSE CARE MANAGER, LLC

Practice address

3238 Players Club Cir Ste 58&59
Memphis, TN 38125-8843

Phone

(901) 869-5744

Fax

(901) 794-4128

NPI assigned

Jun 10, 2015

Organization subpart

No

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

Authorized official

Name

Addie Marchant

Title

Owner/Ceo

Phone

(901) 550-1486

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Shephard Primary Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16914/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/20901/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheryl Lynn Buchanan-Foster, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1801148572
  Medicare reassignment Care Compare group NPD
• Toya Lofton-Pratcher, NP

  • Gerontology Nurse Practitioner
  • Nashville, TN
  • NPI 1235921974
  Medicare reassignment Care Compare group NPD
• Brandy Shephard, FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1073965141
  Medicare reassignment Care Compare group NPD
• Nicole L Edwards, FNP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1942687355
  Medicare reassignment NPD
• Natalie Paige

  • Family Nurse Practitioner
  • Bartlett, TN
  • NPI 1962139030
  Medicare reassignment NPD
• Lavonte Danielle Thompson, FNP-BC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1689183410
  Medicare reassignment NPD

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1659752103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 TIMBER JUMP",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381417395",
            "telephone_number": "901-550-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 PLAYERS CLUB CIR STE 58&59",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258843",
            "telephone_number": "901-869-5744",
            "fax_number": "901-794-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY TRANSITION NURSE CARE MANAGER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "MARCHANT",
        "authorized_official_first_name": "ADDIE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "901-550-1486"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TN",
            "license": "1000000016409",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013486",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shephard Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Primary Care Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.