Individual provider Active NPI

Nichole M Jones-Buxton, N.P.

  • Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1821291683
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
12615 Issued in TN
Practice address
10365 Cooper Ridge CV
Cordova, TN 38016-7619
Phone
(901) 842-1473
Fax
(901) 844-1439
NPI assigned
Jun 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 12615 TN Primary

Addresses

Primary practice location

10365 Cooper Ridge CV
Cordova, TN 38016-7619

Mailing address

10365 Cooper Ridge CV
Cordova, TN 38016-7619
Phone (901) 842-1473

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
I20081103000211 TN Practitioner - Nurse Practitioner 0446319628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Primary Care of Memphis PCGroup PAC ID 7012950090, 4 clinicians

Practice addresses (Care Compare)

3535 Kirby Pkwy
Memphis, TN 38115-3721
Phone (901) 761-6157

Hospital & facility affiliations

  • Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Internists, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: njones31357@mlh.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1821291683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10365 COOPER RIDGE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167619",
            "telephone_number": "901-842-1473",
            "fax_number": "901-844-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10365 COOPER RIDGE CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380167619",
            "telephone_number": "901-842-1473",
            "fax_number": "901-844-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES-BUXTON",
        "first_name": "NICHOLE",
        "middle_name": "M",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-08",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "12615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.