Till Holmes, APRN
Individual provider Active NPI Family Nurse Practitioner · Memphis, TN
NPI 1730916487 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1730916487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 37161 (TN)
- Practice address
- 1463 Brookins St
Memphis, TN 38108-2528 - Phone
- (901) 619-0122
- NPI assigned
- Sep 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christ Community Health Services Inc.
Practice addresses (Care Compare)
5366 Mendenhall Mall
Memphis, TN 38115-4505
Phone (901) 271-6100
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241228000105 | TN | Practitioner - Nurse Practitioner | 8820525041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Community Health Services Inc | Current |
Accepting new patients | |
| Christ Community Health Services Inc | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Christ Community Health Services, Inc | Current |
Accepting new patients | |
| Christ Community Health Services Inc | Past | Accepting new patients |
Locations
5366 Mendenhall Mall
Memphis, TN 38115
Phone (901) 271-6100
2569 Douglass Ave
Memphis, TN 38114
Phone (901) 271-6200
1325 Jefferson Ave
Memphis, TN 38104
Phone (901) 701-2530
2861 Broad Ave
Memphis, TN 38112
Phone (901) 260-8500
3481 Austin Peay Hwy
Memphis, TN 38128
Phone (901) 701-2570
3362 S 3rd St
Memphis, TN 38109
Phone (901) 271-6300
969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400
8188 US Highway 51 N
Millington, TN 38053
Phone (901) 614-4455
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 37161 | TN | Yes |
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
Other providers in Memphis, TN
- Kristen Janae Holmes
- Kurt Monek Holmes
- Samantha Marie Holmes
- Shanyrial Sharie Holmes
- Tennille Holmes
- Andrew Parrish Holt
- Hannah Danielle Holt
- Lee C Holt
- Lyndsey Holt
- Sarah Phipps Holt
All providers in Memphis, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.