Ivanna Nicole Adams-Nelson, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Memphis, TN
NPI 1699515346 · NPPES record last updated May 30, 2024
Key facts
- NPI
- 1699515346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 920 Madison Ave Ste 447
Memphis, TN 38103-3438 - Phone
- (901) 448-4795
- NPI assigned
- May 30, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240619001753 | TN | Order and Referring Only - Obstetrics/Gynecology |
2365985215 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
920 Madison Ave Ste 447
Memphis, TN 38103-3438
Mailing address
853 Jefferson Ave Ste E102
Memphis, TN 38103-2804
Other providers in Memphis, TN
- Raven Adair
- Adam Libby, DPM PLLC
- Wuraola E Adamolekun
- Adams Browne Dental Associates
- Patricia E Adams-Graves
- Shalonda Nakia Adams-Young
- Amber Elizabeth Adams
- Anita Gayle Adams
- Ashlee Rene Adams
- Carolyn Adams
All providers in Memphis, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.