Individual provider Active NPI

Laura Shea McCloskey, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1891159364
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21125 Issued in TN
Practice address
6025 Walnut Grove Rd
Suite 508
Memphis, TN 38120-2131
Phone
(901) 767-5864
Fax
(901) 522-5391
NPI assigned
Apr 11, 2016
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21125 TN Primary

Addresses

Primary practice location

6025 Walnut Grove Rd
Suite 508
Memphis, TN 38120-2131

Mailing address

6025 Walnut Grove Rd
Suite 508
Memphis, TN 38120-2131
Phone (901) 767-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160606001377 TN Practitioner - Nurse Practitioner 6406146398 Reassigns benefits to 1 organization
I20170127000360 MS Practitioner - Nurse Practitioner 6406146398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCulley Allergy, Sinus and AsthmaGroup PAC ID 2668753922, 6 clinicians

Practice addresses (Care Compare)

2155 W St
Germantown, TN 38138-3856
Phone (901) 623-3323

Merit-based Incentive Payment System (MIPS)

Final score
88.02 of 100Reported as group
Quality
81.47
Promoting interoperability
100
Improvement activities
40
Cost
78.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memphis Lung Physicians, P.C. Past Accepting new patients
Allergy & Asthma Care, PLC PastSince Jul 8, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mccloskey.laura.1@14678.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1891159364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 508",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-767-5864",
            "fax_number": "901-522-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 WALNUT GROVE RD",
            "address_2": "SUITE 508",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202131",
            "telephone_number": "901-767-5864",
            "fax_number": "901-522-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "LAURA",
        "middle_name": "SHEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.