Individual provider Active NPI

Till Holmes, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1730916487
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
37161 Issued in TN
Practice address
1463 Brookins St
Memphis, TN 38108-2528
Phone
(901) 619-0122
NPI assigned
Sep 17, 2024
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 37161 TN Primary

Addresses

Primary practice location

1463 Brookins St
Memphis, TN 38108-2528

Mailing address

8188 US Highway 51 N
Millington, TN 38053-1750
Phone (901) 614-4455

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
I20241228000105 TN Practitioner - Nurse Practitioner 8820525041 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5366 Mendenhall Mall
Memphis, TN 38115-4505
Phone (901) 271-6100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37161TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 11, 2024 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 11, 2024 Accepting new patients
Christ Community Health Services, Inc CurrentSince Apr 1, 2025 Accepting new patients
Christ Community Health Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Christ Community Health Services Inc Current Accepting new patients
Christ Community Health Services Inc Past Accepting new patients

Locations

1325 Jefferson Ave
Memphis, TN 38104
Phone (901) 701-2530

2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200

2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500

3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300

3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570

5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100

969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400

8188 US Highway 51 N
Millington, TN 38053
Phone (901) 614-4455

Organizations & group practices 6

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": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1730916487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 US HIGHWAY 51 N",
            "city": "MILLINGTON",
            "state": "TN",
            "postal_code": "380531750",
            "telephone_number": "901-614-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 BROOKINS ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381082528",
            "telephone_number": "901-619-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TILL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "37161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.