Active NPI
Carolyn Ruth Marcum, NP
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN13353
- Practice address
- 5865 Rideway Center Parkway
Memphis, TN 38120-3812 - Phone
- (337) 991-9276
- Fax
- (337) 943-0846
- NPI assigned
- Mar 13, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 13353 | TN | |
| Nurse Practitioner | 363L00000X | A810297 | MS | |
| Family Nurse Practitioner | 363LF0000X | APN13353 | TN | Primary |
| Registered Nurse | 163W00000X | 141621 | TN |
Addresses
Primary practice location
5865 Rideway Center Parkway
Memphis, TN 38120-3812
Mailing address
1509 Dulles Dr
Lafayette, LA 70506-3718
Phone (337) 991-9276
Other practice location 1
100 N Humphreys Blvd
Memphis, TN 38120-2146
Phone (901) 683-0055
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00927745 | Medicaid | MS | |
| 4182890 | Other | TN | TN BCBS |
| 3341699 | Medicaid | TN | |
| 168400758 | Medicaid | AR | |
| 1801067251 | Other | AR | AR BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141621 | TN | MD | Registered Nurse |
| A810297 | MS | MD | Nurse Practitioner |
| 13353 | TN | MD | Nurse Practitioner |
| APN13353 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curana Health of Tennessee LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803
955 N Germantown Pkwy
Cordova, TN 38018
Phone (901) 754-1393
5865 Ridgeway Center Pkwy
Memphis, TN 38120
Phone (901) 219-1295
100 Peabody Pl
Ste 150
Memphis, TN 38103
9155 Crestwyn Hills Dr
Memphis, TN 38125
Phone (901) 261-4848
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Memphis, TN
- NPI 1750761060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644451200000",
"number": "1801067251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 DULLES DR",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705063718",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5865 RIDEWAY CENTER PARKWAY",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381203812",
"telephone_number": "337-991-9276",
"fax_number": "337-943-0846"
}
],
"practiceLocations": [
{
"address_1": "100 N Humphreys Blvd",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381202146",
"country_code": "US",
"telephone_number": "901-683-0055",
"fax_number": "901-685-9718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARCUM",
"first_name": "CAROLYN",
"middle_name": "RUTH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-13",
"last_updated": "2022-02-10",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "13353",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "A810297",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "APN13353",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "141621",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00927745",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN BCBS",
"identifier": "4182890",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3341699",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "168400758",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AR BCBS",
"identifier": "1801067251",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.