Active NPI
Easley Delones Family Medical, Inc.
- Family Nurse Practitioner
- Covington, TN
National Provider Identifier
1972801405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EASLEY DELONES FAMILY MEDICAL, INC.
- Practice address
- 1618 Highway 51 S
Suite G
Covington, TN 38019-3237 - Phone
- (901) 476-7777
- Fax
- (901) 476-0007
- NPI assigned
- Mar 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Leigh Easley, FNP
- Title
- Managing Employee
- Phone
- (901) 476-7777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1618 Highway 51 S
Suite G
Covington, TN 38019-3237
Mailing address
1618 Highway 51 S
Suite G
Covington, TN 38019-3237
Phone (901) 476-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1532690 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Covington, TN
- NPI 1447092556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1972801405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1618 HIGHWAY 51 S",
"address_2": "SUITE G",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193237",
"telephone_number": "901-476-7777",
"fax_number": "901-476-0007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1618 HIGHWAY 51 S",
"address_2": "SUITE G",
"city": "COVINGTON",
"state": "TN",
"postal_code": "380193237",
"telephone_number": "901-476-7777",
"fax_number": "901-476-0007"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASLEY DELONES FAMILY MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-08",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "EASLEY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "MANAGING EMPLOYEE",
"authorized_official_telephone_number": "901-476-7777",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1532690",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.