Active NPI
Porsha Bonds, FNP
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1689043036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0000020207
- Practice address
- 6400 Shelby View Dr
Ste. 101
Memphis, TN 38134-7659 - Phone
- (901) 201-4680
- Fax
- (888) 977-1805
- NPI assigned
- Sep 16, 2015
- 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 | 0000020207 | TN | Primary |
Addresses
Primary practice location
6400 Shelby View Dr
Ste. 101
Memphis, TN 38134-7659
Mailing address
333 Commerce St
Ste. 700
Nashville, TN 37201-1826
Phone (615) 913-5086
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000020207 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
Locations
5410 Maryland Way
Ste 400
Brentwood, TN 37027
Interoperability endpoints
- pbonds19828@carelonhealth.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1689043036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 COMMERCE ST",
"address_2": "STE. 700",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372011826",
"telephone_number": "615-913-5086",
"fax_number": "888-494-2588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 SHELBY VIEW DR",
"address_2": "STE. 101",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381347659",
"telephone_number": "901-201-4680",
"fax_number": "888-977-1805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONDS",
"first_name": "PORSHA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-16",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "0000020207",
"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 Apr 21, 2016; 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.