CAROLYN RUTH MARCUM NP NPI 1801067251

NPI Information

NPI: 1801067251
Provider Name: CAROLYN RUTH MARCUM, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5865 RIDEWAY CENTER PARKWAY
MEMPHIS, TN
ZIP 38120
Phone: (337) 991-9276
Get Directions

Carolyn Ruth Marcum, NP is a family nurse practitioner in Memphis, TN. Carolyn Ruth Marcum, NP NPI is 1801067251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5865 RIDEWAY CENTER PARKWAY
MEMPHIS, TN
ZIP 38120-812
Phone: (337) 991-9276
Fax: (337) 943-0846

The NPI 1801067251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/13/2008 and was last updated on 2/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		13353	TENNESSEE	No
2	363L00000X	Nurse Practitioner		A810297	MISSISSIPPI	No
3	363LF0000X	Nurse Practitioner	Family	APN13353	TENNESSEE	Yes
4	163W00000X	Registered Nurse		141621	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00927745	MEDICAID	MISSISSIPPI
2	168400758	MEDICAID	ARKANSAS
3	4182890	OTHER	TENNESSEE	TN BCBS
4	1801067251	OTHER	ARKANSAS	AR BCBS
5	3341699	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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