Catherine Carlton Easterwood, NP
Individual provider Active NPI Family Nurse Practitioner · Memphis, TN
NPI 1902249394 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1902249394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17568 (TN)
- Practice address
- 262 Danny Thomas PL
Memphis, TN 38105-3678 - Phone
- (888) 226-4343
- NPI assigned
- Apr 16, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130802000608 | TN | Practitioner - Nurse Practitioner | 1557502523 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000017568 | TN | MD | Nurse Practitioner |
| 17568 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Jude Children'S Research Hospital, Inc. | Current |
Accepting new patients | |
| Southeastern Emergency Services P C | Nurse Practitioner | Current |
Accepting new patients |
| Ut Lebonheur Pediatric Specialists, Inc. | Past | Accepting new patients |
Locations
7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000
1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000
550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000
262 Danny Thomas Pl
Memphis, TN 38105
Phone (888) 226-4343
6019 Walnut Grove Rd
Memphis, TN 38120
Phone (901) 226-3190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000017568 | TN | |
| Family Nurse Practitioner | 363LF0000X | 17568 | TN | Yes |
Addresses
Primary practice location
262 Danny Thomas PL
Memphis, TN 38105-3678
Mailing address
6799 Great Oaks Rd Ste 250
Memphis, TN 38138-2584
Phone (901) 685-3490
Other practice location 1
6029 Walnut Grove Rd Ste C002
Memphis, TN 38120-2112
Phone (901) 496-1634
Other providers in Memphis, TN
- East Memphis Pet Imaging, LLC
- East Memphis Therapy Center
- East Memphis Urgent Medical Clinic PC
- East Memphis Urology Center, LP
- Thomas Scott Easterday
- Rita Maria Eastmond
- Eastmoreland Internal Medicine Mpllc
- Easy Living Home Healthcare
- Easy Living in Home Care LLC
- Easy Medical Access Transportation
All providers in Memphis, TN · Family Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.