Individual provider Active NPI

Brenda Springfield, FNP

  • Legal Medicine
  • Memphis, TN
National Provider Identifier
1861498776
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
APN6976 Issued in TN
Practice address
Box 1798 Dept 07-49
Memphis, TN 38101-9715
Phone
(901) 476-1313
Fax
(901) 476-1314
NPI assigned
Jun 24, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X APN6976 TN Primary

Addresses

Primary practice location

Box 1798 Dept 07-49
Memphis, TN 38101-9715

Mailing address

1111 Highway 51 S
Covington, TN 38019-3236
Phone (901) 476-1313

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
I20050708000667 TN Practitioner - Nurse Practitioner 9234165556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, 737 clinicians

Practice addresses (Care Compare)

1111 Hwy 51 S
Covington, TN 38019-3236
Phone (901) 476-1313

2066 N Highland Ave
Jackson, TN 38305-4919
Phone (931) 253-1110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN6976TNMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 15, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 15, 2025 Accepting new patients
Firstcare Medical Center, PC Past Accepting new patients
Primecare Clinic, PLLC Past Accepting new patients

Locations

2066 N Highland Ave
Jackson, TN 38305
Phone (731) 513-6250

Interoperability endpoints

  • Direct secure messaging: brenda.springfield.1@23792.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1861498776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 51 S",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193236",
            "telephone_number": "901-476-1313",
            "fax_number": "901-476-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 1798 DEPT 07-49",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381019715",
            "telephone_number": "901-476-1313",
            "fax_number": "901-476-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRINGFIELD",
        "first_name": "BRENDA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "APN6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.