Individual provider Active NPI

Lisa L. Erickson, APN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1700937141
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN6959 Issued in TN
Practice address
4913 Raleigh Common Dr Ste 201
Memphis, TN 38128-2485
Phone
(901) 878-3366
Fax
(901) 492-4941
NPI assigned
Jan 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6959 TN
Family Nurse Practitioner 363LF0000X APN6959 TN Primary

Addresses

Primary practice location

4913 Raleigh Common Dr Ste 201
Memphis, TN 38128-2485

Mailing address

4913 Raleigh Common Dr Ste 201
Memphis, TN 38128-2485
Phone (901) 878-3366

Other practice location 1

6222 E Shelby Dr
Memphis, TN 38141-7735
Phone (901) 878-3274

Other identifiers 2

IdentifierTypeStateIssuer
3903204MedicaidTN
4293227OtherTNBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031209000964 TN Practitioner - Nurse Practitioner 3476459629 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6959TNMDMassage Therapist
APN6959TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michael E Steuer, MD, PC CurrentSince May 10, 2022 Accepting new patients
Memphis Internists, LLC Past Accepting new patients
Midsouth Pain Treatment Center Past Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC PastSince Jul 17, 2022 Accepting new patients

Locations

146 Timber Creek Dr
Cordova, TN 38018
Phone (901) 249-7838

146 Timber Creek Dr
Ste 200
Cordova, TN 38018
Phone (901) 751-4112

1004 Greystone Sq
Jackson, TN 38305
Phone (731) 664-1773

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECHDDD

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1700937141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4913 RALEIGH COMMON DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282485",
            "telephone_number": "901-878-3366",
            "fax_number": "901-492-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4913 RALEIGH COMMON DR STE 201",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381282485",
            "telephone_number": "901-878-3366",
            "fax_number": "901-492-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6222 E Shelby Dr",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381417735",
            "country_code": "US",
            "telephone_number": "901-878-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "LISA",
        "middle_name": "L.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "6959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN6959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3903204",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4293227",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.