Richard Dean Sykes, APRN, BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

5883 Issued in TN

Practice address

993 Cordova Station Ave
Cordova, TN 38018-6317

Phone

(901) 737-4565

Fax

(901) 737-4312

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Youth Villages, Inc.

  • Psychiatric Residential Treatment Facility
  • Memphis, TN
  • NPI 1558916213
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1942315627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 SHELBY OAKS DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381347316",
            "telephone_number": "901-252-7600",
            "fax_number": "901-252-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 CORDOVA STATION AVE",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186317",
            "telephone_number": "901-737-4565",
            "fax_number": "901-737-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7410 Memphis Arlington Rd",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381351908",
            "country_code": "US",
            "telephone_number": "901-252-7800",
            "fax_number": "901-252-7680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8289 Cordova Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162090",
            "country_code": "US",
            "telephone_number": "901-737-4565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYKES",
        "first_name": "RICHARD",
        "middle_name": "DEAN",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "5883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3928030",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3376331",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4088131",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Superiorcare Medical Group LLC
• Lindsey Swafford, M.S., BCBA, LBA
• Latoya Charmaine Swagerty, LMSW
• Usha B Swamy, M.D.
• Dodgen Nathaniel Swanson, DC
• Faysa Taha
• William Talbert, MS, BCBA
• Grace Faith Baiza Taoatao
• Taslim a Khattak MD
• Jeff Tatlonghari, OT

• Psychiatric/Mental Health Nurse Practitioner in Cordova, TN
• Providers in Cordova, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.