Individual provider Active NPI

Erica Renee Dillard, FNP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1669020046
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26371 Issued in TN
Practice address
2922 Covington Pike
Memphis, TN 38128-6007
Phone
(901) 425-0200
Fax
(901) 213-9868
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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 26371 TN Primary

Addresses

Primary practice location

2922 Covington Pike
Memphis, TN 38128-6007

Mailing address

2922 Covington Pike
Memphis, TN 38128-6007
Phone (901) 425-0200

Other practice location 1

6864 Show Boat Ln
Cordova, TN 38018-7919
Phone (901) 652-8963

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
I20191230000246 TN Practitioner - Nurse Practitioner 2062846066 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26371TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Tennessee PC CurrentSince Apr 25, 2022 Accepting new patients
Memphis Health Center, Inc. CurrentSince Feb 25, 2021 Accepting new patients
Memphis Health Center, Inc. CurrentSince Feb 25, 2021 Accepting new patients
Curana Health of Tennessee LLC Family CurrentSince Apr 5, 2022 Accepting new patients
Landmark Medical of Tennessee PC CurrentSince Apr 25, 2022 Accepting new patients
Restorative Mobile Wound Care, LLC Family CurrentSince Jul 2, 2025 Accepting new patients
Carelon Medical Partners of Arizona, P.C. Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

210 Westwood Pl
Ste 110
Brentwood, TN 37027
Phone (615) 206-2462

360 E Eh Crump Blvd
Memphis, TN 38126
Phone (901) 261-2000

618 Oakleaf Office Ln
Memphis, TN 38117
Phone (901) 290-6244

5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295

618 Oakleaf Office Ln
Ste 200
Memphis, TN 38117
Phone (901) 207-6357

Interoperability endpoints

  • Direct secure messaging: edillard@landmarkhealth-direct.org

Organizations & group practices 7

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1669020046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381286007",
            "telephone_number": "901-425-0200",
            "fax_number": "901-213-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381286007",
            "telephone_number": "901-425-0200",
            "fax_number": "901-213-9868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6864 Show Boat Ln",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380187919",
            "country_code": "US",
            "telephone_number": "901-652-8963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "ERICA",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "26371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.