Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043260441 Individual Practitioner Female Practitioner

Sandra D Waller , FNP, MSN

Nurse Practitioner • Memphis, TN

Professional Overview & Biography Verified Profile Summary

Sandra Waller, FNP, MSN is a registered healthcare professional specializing in Nurse Practitioner in Memphis, TN. Practice services are available at 2861 BROAD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2861 Broad Ave

Memphis, TN 381122903

Telephone 9012608500
Fax 9013256469
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 12.4 Yrs
Regional Practice Density
199 Specialists

Practicing in Memphis, TN (2343 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License TN APN0000005098

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3346145 (TN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1003080615

Doctor of Medicine (M.D.)

Dr. Krista Erbele , MD

Family Medicine

NPI 1033167341

Doctor of Medicine (M.D.)

Tori Moore

Counselor

NPI 1285551838
Brenda Evans , FNP, MSN

Nurse Practitioner - Family

NPI 1407805674

Family Nurse Practitioner, Master of Science in Nursing

Dr. Katherine Liu , MD

Obstetrics & Gynecology

NPI 1427234764

Doctor of Medicine (M.D.)

NPI 1467401893

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2012

Registered at 2861 BROAD AVE, MEMPHIS, TN 381122903 (Tel: 9012608500)

📍
Updated Business Mailing Address June 06, 2012

Registered at 2595 CENTRAL AVE, MEMPHIS, TN 381045905 (Tel: 9012608551)

👤
Provider Name / Credentials Updated June 06, 2012

Recorded as SANDRA WALLER, FNP, MSN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2012

Nurse Practitioner (License #APN0000005098 in TN)

🟢
Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Sandra Waller. Be the first to share your experience!

Sign in to leave a review for Sandra Waller

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1043260441
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2006
Last Update: June 06, 2012
Sole Proprietor: No

Mailing Address

2595 Central Ave

Memphis, TN 381045905

Phone: 9012608551

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.