Individual provider Active NPI

Devennse Barnes, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1730918970
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
36648 Issued in TN
Practice address
2942 Shelby St
Bartlett, TN 38134-4514
Phone
(757) 632-8727
NPI assigned
Jul 27, 2024
Last updated
Jul 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 36648 TN Primary

Addresses

Primary practice location

2942 Shelby St
Bartlett, TN 38134-4514

Mailing address

2942 Shelby St
Bartlett, TN 38134-4514

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
I20250206003062 TN Practitioner - Nurse Practitioner 6709316763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6000 Poplar Ave
Suite 250
Memphis, TN 38119-3974
Phone (901) 675-6084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36648TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Hospice of Tennessee, LLC CurrentSince Dec 27, 2024 Accepting new patients
Mindful Horizon Mental Health LLC Psychiatric/Mental Health CurrentSince Jan 2, 2025 Accepting new patients
Crossroads Hospice of Tennessee, LLC CurrentSince Dec 27, 2024 Accepting new patients

Locations

1669 Shelby Oaks Dr N
Ste 106
Memphis, TN 38134
Phone (901) 382-9292

6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577

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, 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": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1730918970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 SHELBY ST",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 SHELBY ST",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344514",
            "telephone_number": "757-632-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DEVENNSE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "36648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.