NPIMap

Organization Active NPI

Medpartners Inc

  • Family Nurse Practitioner
  • Cordova, TN
National Provider Identifier
1962942615
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MEDPARTNERS INC
Practice address
8454 Prestine Loop
301
Cordova, TN 38018-4113
Phone
(901) 825-9096
NPI assigned
Feb 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
Mrs. Katina Simmons
Title
President
Phone
(901) 825-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

8454 Prestine Loop
301
Cordova, TN 38018-4113

Mailing address

8454 Prestine Loop
301
Cordova, TN 38018-4113
Phone (901) 825-9096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1962942615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8454 PRESTINE LOOP",
            "address_2": "301",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184113",
            "telephone_number": "901-825-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8454 PRESTINE LOOP",
            "address_2": "301",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184113",
            "telephone_number": "901-825-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "KATINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-825-9096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.