Individual provider Active NPI

Donna Renai Norris, APRN, BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1700906286
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12650 Issued in TN
Practice address
6029 Walnut Grove Rd Ste 301
Memphis, TN 38120-2112
Phone
(901) 747-9081
Fax
(901) 747-9087
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903227MSMDFamily Nurse Practitioner
12650TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mitchell Eye Center, PLLC PastSince Jun 1, 2018 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Access Health Center PLLC Family PastSince Jul 5, 2011 Accepting new patients

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 12650 TN Primary
Family Nurse Practitioner 363LF0000X 903227 MS

Addresses

NPPES NPI Registry

Primary practice location

6029 Walnut Grove Rd Ste 301
Memphis, TN 38120-2112

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

305 E Main St
Adamsville, TN 38310-2313
Phone (731) 632-0901

Other practice location 2

7900 Airways Blvd Ste 100
Southaven, MS 38671-4113
Phone (662) 349-2442

Other practice location 3

1565 Wayne Rd
Savannah, TN 38372-3837
Phone (731) 727-8366

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1509107MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2021.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1700906286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6029 WALNUT GROVE RD STE 301",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202112",
            "telephone_number": "901-747-9081",
            "fax_number": "901-747-9087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 E Main St",
            "address_purpose": "LOCATION",
            "city": "Adamsville",
            "state": "TN",
            "postal_code": "383102313",
            "country_code": "US",
            "telephone_number": "731-632-0901",
            "fax_number": "731-632-0902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7900 Airways Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714113",
            "country_code": "US",
            "telephone_number": "662-349-2442",
            "fax_number": "662-349-8551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1565 Wayne Rd",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "TN",
            "postal_code": "383723837",
            "country_code": "US",
            "telephone_number": "731-727-8366",
            "fax_number": "731-727-8367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "DONNA",
        "middle_name": "RENAI",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "12650",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903227",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509107",
            "state": "TN"
        }
    ],
    "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 Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.