Active NPI
Kristin Deneen, MD
- Student in an Organized Health Care Education/Training Program
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- University of Tennessee
920 Madison Avenue Suite 447
Memphis, TN 38163 - Phone
- (901) 287-6756
- NPI assigned
- Apr 26, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
University of Tennessee
920 Madison Avenue Suite 447
Memphis, TN 38163
Mailing address
50 North Dunlap Street
6TH Floor Research Center
Memphis, TN 38103
Phone (901) 287-6756
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
850 Poplar Ave
BLDG 2
Memphis, TN 38105-4607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Lebonheur Pediatric Specialists, Inc. | Current | Accepting new patients |
Locations
850 Poplar Ave
Bldg 2
Memphis, TN 38105
Phone (901) 287-5594
100 N Humphreys Blvd
Memphis, TN 38120
Phone (901) 747-1800
50 N Dunlap St
Fl 6
Memphis, TN 38103
Phone (901) 287-5265
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Memphis, TN
- NPI 1093024101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1689318545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 NORTH DUNLAP STREET",
"address_2": "6TH FLOOR RESEARCH CENTER",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-287-6756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF TENNESSEE",
"address_2": "920 MADISON AVENUE SUITE 447",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38163",
"telephone_number": "901-287-6756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENEEN",
"first_name": "KRISTIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-26",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"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 May 11, 2022; 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.
- 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.