Individual provider Active NPI

Tamara Howard-Fain, APRN, BC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1932262417
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7672 Issued in TN
Practice address
2245 S Lauderdale St
Memphis, TN 38106-7517
Phone
(901) 948-5558
Fax
(901) 774-9031
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 117022 TN
Family Nurse Practitioner 363LF0000X 7672 TN Primary

Addresses

Primary practice location

2245 S Lauderdale St
Memphis, TN 38106-7517

Mailing address

2245 S Lauderdale St
Memphis, TN 38106-7517
Phone (901) 948-5558

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
I20050217000897 TN Practitioner - Nurse Practitioner 5799737789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7672TNMDDentist
117022TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Midsouth Independent Group, PLLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

764 Walnut Knoll Ln
Cordova, TN 38018
Phone (901) 756-5565

2245 S Lauderdale St
Memphis, TN 38106
Phone (901) 582-7660

Organizations & group practices 1

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1932262417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 S LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381067517",
            "telephone_number": "901-948-5558",
            "fax_number": "901-774-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 S LAUDERDALE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381067517",
            "telephone_number": "901-948-5558",
            "fax_number": "901-774-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD-FAIN",
        "first_name": "TAMARA",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "117022",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "7672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.