Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Johanna Marie Bieberly

Individual provider Registered Nurse · NPI 1508892241

Johanna Marie Bieberly is a Nurse Practitioner in Memphis, Tennessee. Qualified in 1998, 28 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
28
Licensed in
TN
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

2861 Broad Ave Christ Community Health Services Inc
Memphis, TN 38112-2903
Phone: (901) 260-8450
Fax: (901) 260-8590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7712 (TN)
Registered Nurse Taxonomy 163W00000X · Licence 118463 (TN)

Record details

NPI number1508892241
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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