Active NPI
Erica Renee Dillard, FNP
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 26371 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Medical of Tennessee PC | Current | Accepting new patients | |
| Memphis Health Center, Inc. | Current | Accepting new patients | |
| Memphis Health Center, Inc. | Current | Accepting new patients | |
| Curana Health of Tennessee LLC | Family | Current | Accepting new patients |
| Landmark Medical of Tennessee PC | Current | Accepting new patients | |
| Restorative Mobile Wound Care, LLC | Family | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1659745354
-
- General Practice Physician
- Westbrook, ME
- NPI 1982310439
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1730697483
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.