Active NPI
Carly Taylor Adams, NP
- Women's Health Nurse Practitioner
- Collierville, TN
National Provider Identifier
1780197178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 23352
- Practice address
- 2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618 - Phone
- (901) 755-2900
- NPI assigned
- Nov 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 23352 | TN | Primary |
Addresses
Primary practice location
2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618
Mailing address
2028 W Poplar Ave Ste 110
Collierville, TN 38017-0618
Phone (901) 755-2900
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23352 | TN | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1780197178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 W POPLAR AVE STE 110",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380170618",
"telephone_number": "901-755-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 W POPLAR AVE STE 110",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380170618",
"telephone_number": "901-755-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "CARLY",
"middle_name": "TAYLOR",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TN",
"license": "23352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.