Tennessee in-Home Partner-IV, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

TENNESSEE IN-HOME PARTNER-IV, LLC

Practice address

Sumner Medical Plaza
300 Steam Plant Road, Suite 220
Memphis, TN 37066-3032

Phone

(615) 328-6690

NPI assigned

Aug 26, 2020

Organization subpart

No

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

Authorized official

Name

Joshua L Proffitt

Title

President

Phone

(337) 233-1307

Specialties & licenses 1

Addresses

Other names 1

• HighPoint Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel Dibble, NP

  • Adult Health Nurse Practitioner
  • Brentwood, TN
  • NPI 1720462682
  Medicare reassignment
• Melissa Lynn Simpson, NP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1508578816
  NPD
• Melody Laine Draper, RN, APRN

  • Family Nurse Practitioner
  • Gallatin, TN
  • NPI 1013173897
  NPD (past)

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1831702224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51266",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705051266",
            "telephone_number": "337-233-1307",
            "fax_number": "337-233-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUMNER MEDICAL PLAZA",
            "address_2": "300 STEAM PLANT ROAD, SUITE 220",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "370663032",
            "telephone_number": "615-328-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE IN-HOME PARTNER-IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "PROFFITT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-233-1307"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HighPoint Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HighPoint Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.