Individual provider Active NPI

Tarsha Elliott, FNP-C

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1659839637
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
25421 Issued in TN
Practice address
2430 Poplar Ave Ste 100
Memphis, TN 38112-3246
Phone
(901) 725-3018
Fax
(901) 725-3030
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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 25421 TN Primary

Addresses

Primary practice location

2430 Poplar Ave Ste 100
Memphis, TN 38112-3246

Mailing address

11252 Ivy Dr
Arlington, TN 38002-4154
Phone (901) 508-2928

Other practice location 1

2430 Poplar Ave Ste 100
Memphis, TN 38112-3246
Phone (901) 725-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Greater Memphis Region PastSince Oct 6, 2022 Accepting new patients
Family Services of the Mid-South Past Accepting new patients

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": "1551916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1659839637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11252 IVY DR",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024154",
            "telephone_number": "901-508-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 POPLAR AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123246",
            "telephone_number": "901-725-3018",
            "fax_number": "901-725-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Poplar Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381123246",
            "country_code": "US",
            "telephone_number": "901-725-3018",
            "fax_number": "901-725-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "TARSHA",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.