Individual provider Active NPI

Melverdine B. Young-Smith, APRN

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1982612644
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000006058 Issued in TN
Practice address
1030 Jefferson Ave.
Memphis, TN 38104-2193
Phone
(901) 523-8990
Fax
(901) 577-7467
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006058 TN Primary

Addresses

Primary practice location

1030 Jefferson Ave.
Memphis, TN 38104-2193

Mailing address

5312 Solitaire Way
Memphis, TN 38109-6390
Phone (901) 523-8990

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN0000006058TNMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982612644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5312 SOLITAIRE WAY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381096390",
            "telephone_number": "901-523-8990",
            "fax_number": "901-577-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JEFFERSON AVE.",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042193",
            "telephone_number": "901-523-8990",
            "fax_number": "901-577-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-SMITH",
        "first_name": "MELVERDINE",
        "middle_name": "B.",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.