Individual provider Active NPI

Nicole Tabrizi Meredith, APN

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1952606055
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
15408 Issued in TN
Practice address
8970 Winchester Rd
Memphis, TN 38125-8231
Phone
(901) 794-5806
Fax
(901) 794-7922
NPI assigned
Jan 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 15408 TN Primary

Addresses

Primary practice location

8970 Winchester Rd
Memphis, TN 38125-8231

Mailing address

965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401

Other names 1

  • Nicole Berengi Tabrizi Former name

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
I20120125000354 TN Practitioner - Nurse Practitioner 9032386453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

36 Capital Way
Suite E
Atoka, TN 38004-7986
Phone (901) 837-6801

8040 Wolf River Blvd
Suite 200
Germantown, TN 38138-1775
Phone (901) 726-0200

8138 Country Village Dr
Cordova, TN 38016-2029
Phone (901) 725-8606

8970 Winchester Rd
Memphis, TN 38125-8231
Phone (901) 794-5806

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Memorial Medical Group Inc CurrentSince Dec 5, 2011 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince May 11, 2015 Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince May 11, 2015 Accepting new patients
Baptist Memorial Medical Group Inc Nurse Practitioner CurrentSince Dec 5, 2011 Accepting new patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Baptist Memorial Health Services, Inc. of Mississippi Past Accepting new patients

Locations

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

6685 Poplar Ave
Ste 120
Germantown, TN 38138
Phone (901) 685-8245

2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350

8040 Wolf River Blvd
Ste 103
Memphis, TN 38138
Phone (901) 725-8606

8040 Wolf River Blvd
Memphis, TN 38138
Phone (314) 307-3478

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

8970 Winchester Rd
Memphis, TN 38125
Phone (901) 794-5806

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

6305 Humphreys Blvd
Ste 101
Memphis, TN 38120
Phone (901) 227-8930

Interoperability endpoints

  • Direct secure messaging: nmeredith4507@direct.bmhcc.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1952606055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 315",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8970 WINCHESTER RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258231",
            "telephone_number": "901-794-5806",
            "fax_number": "901-794-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "NICOLE",
        "middle_name": "TABRIZI",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-20",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "15408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "TABRIZI",
            "middle_name": "BERENGI",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.