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Active NPI 1427924018 Individual Practitioner Male Practitioner

Blake Timothy

Registered Nurse • Memphis, TN

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Blake Timothy is a registered healthcare professional specializing in Registered Nurse in Memphis, TN. Official NPI practice address is registered at 6019 WALNUT GROVE RD.

Practice Location & Contact Primary Location

Practice Address

6019 Walnut Grove Rd

Memphis, TN 381202113

Telephone 9012265000
Associated Practice Facility / Clinic
🏢 Baptist Memorial Hospital Facility NPI 1578527172

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Memphis, TN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 4.0 Yrs
Regional Practice Density
142 Specialists

Practicing in Memphis, TN (3394 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2025-10-13
Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License TN 287889

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Suchal Atta Gondal

Student in an Organized Health Care Education/Training Program

NPI 1003734120
Cassidy Thetford , AGNP-C

Nurse Practitioner

NPI 1013703966

Adult-Gerontology Nurse Practitioner (Certified)

Millicent Cook , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023073012

Certified Registered Nurse Anesthetist

Dr. Jane Harlan , DNP, FNP-C

Nurse Practitioner - Family

NPI 1023857869

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Jeremiah Rodgers , PA

Physician Assistant

NPI 1033366190

Physician Assistant

Mary Pena , CRNA

Nurse Anesthetist, Certified Registered

NPI 1043441652

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2025

Registered at 6019 WALNUT GROVE RD, MEMPHIS, TN 381202113 (Tel: 9012265000)

📍
Updated Business Mailing Address October 13, 2025

Registered at 1619 WOLF RIDGE DR, COLLIERVILLE, TN 380178684 (Tel: 4358629852)

👤
Provider Name / Credentials Updated October 13, 2025

Recorded as BLAKE TIMOTHY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2025

Registered Nurse (License #287889 in TN)

🟢
Initial NPI Registration & Enumeration October 13, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427924018
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2025
Last Update: October 13, 2025
Sole Proprietor: Yes

Mailing Address

1619 Wolf Ridge Dr

Collierville, TN 380178684

Phone: 4358629852

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.