Active NPI
Cherish Renee Bandy, FNP-C
- Family Medicine Physician
- Cordova, TN
National Provider Identifier
1861003345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 27777
- Practice address
- 765 Woodland Trace LN
Cordova, TN 38018-6609 - Phone
- (888) 551-2538
- NPI assigned
- Aug 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 27777 | TN | Primary |
Addresses
Primary practice location
765 Woodland Trace LN
Cordova, TN 38018-6609
Mailing address
765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (888) 551-2538
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200902001378 | TN | Practitioner - Nurse Practitioner | 7719304971 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27777 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Regional One Physicians Inc | Family Medicine | Current | Accepting new patients |
| Ut Regional One Physicians Inc | Current | Accepting new patients |
Locations
6215 Humphreys Blvd
Ste 201
Memphis, TN 38120
Phone (901) 866-8085
877 Jefferson Ave
Memphis, TN 38103
Phone (901) 448-5893
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.
-
- Anesthesiology Physician
- Memphis, TN
- NPI 1285042028
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ut Regional One Physicians Inc
Practice addresses (Care Compare)
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-8336
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.97 of 100
- Quality
- 64.58
- Improvement activities
- 40
- Cost
- 77.33
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606608000000",
"number": "1861003345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "765 WOODLAND TRACE LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186609",
"telephone_number": "888-551-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 WOODLAND TRACE LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186609",
"telephone_number": "888-551-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDY",
"first_name": "CHERISH",
"middle_name": "RENEE",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-10",
"last_updated": "2020-11-29",
"certification_date": "2020-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "27777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.