TARA CALICO CHERRY (NPI# 1144470121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144470121 |
Entity Type | Individual |
Full Name | TARA CALICO CHERRY |
Credential | APN |
Practice Address |
360 E Eh Crump Blvd Memphis TN 38126-5310 |
Mailing Address |
4531 Kingsbrook Rd Memphis TN 38117-5417 |
Practice Telephone | 9012612025 |
Practice Fax Number | 9019469262 |
Mailing Telephone | 9013011809 |
Mailing Fax Number | 9019469262 |
Enumeration Date | 2008-09-25 |
Last Update Date | 2020-02-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
13580 | TN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP10904 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700891850 | Tara A Cherry | Obstetrics & Gynecology | 4315 James Casey St # 200, Austin, TX 78745-3364 | 2006-07-29 |
Street Address |
360 E EH CRUMP BLVD |
City | MEMPHIS |
State | TN |
Zip Code | 38126-5310 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275530222 | Cheryl K Giles | Family Medicine | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2005-07-06 |
1477186476 | Joshua Mayberry | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2020-02-18 |
1871123364 | Andrea M. Patterson | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2020-01-23 |
1215570189 | Raghu Damarla | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5394 | 2019-10-23 |
1003369109 | Tiffinie Wilson | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2016-07-26 |
1578936803 | Jennifer Renee Tillery | Nurse Practitioner | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2015-11-09 |
1962838854 | Danielle Michelle Wright | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-09-24 |
1013359439 | Sheila Lynne Coleman-denton | Dentist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-07-26 |
1154663722 | Daria D Weathers | Social Worker | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2013-03-21 |
1295082022 | Juanita M Raines | Pharmacist | 360 E Eh Crump Blvd, Memphis, TN 38126-5310 | 2012-08-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427287184 | Odessa A. Williamson | Social Worker | 694 Williams St., Memphis, TN 38126 | 2009-07-02 |
1407074719 | Shannon E Johnson | Counselor | 427 Linden, Ave, Memphis, TN 38126 | 2007-04-23 |
1679797062 | Janice Rene Smith | Counselor | 427 Linden Avenue, Memphis, TN 38126 | 2007-04-13 |
1144236902 | Memphis Health Center, Inc. | Clinic/Center | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-08-01 |
1598989709 | Rhonda L. Mccloude | Counselor | 427 Linden Ave, Memphis, TN 38126 | 2007-04-12 |
1366502148 | Sharikia S Harris | Dentist | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-12-11 |
1316040447 | Memphis Health Center, Inc | Pharmacy | 360 E H Crump Blvd, Memphis, TN 38126 | 2006-09-06 |
1275785537 | Odessa's Foster Care Home, Inc. | Foster Care Agency | 694 Williams, Memphis, TN 38126-0001 | 2008-10-17 |
1508072760 | Lamarcus Wingate | Student in an Organized Health Care Education/Training Program | 255 S Dunlap St # 230, Memphis, TN 38126-1801 | 2007-05-15 |
1437112026 | Dva Renal Healthcare Inc | Clinic/Center | 889 Dr Ml King Jr Ave, Memphis, TN 38126-1928 | 2006-04-06 |
Find all providers in zip 38126 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265049977 | Toya Owens | Nurse Practitioner | 2565 Mackinnon Dr, Memphis, TN 38119-7903 | 2020-09-26 |
1679197974 | Billi-jo Fulton | Nurse Practitioner | 6932 Guyder Rd, Memphis, NY 13112-8711 | 2020-06-02 |
1417518077 | Raghib Dennis | Nurse Practitioner | 1518 Arbor View Ct Apt 206, Memphis, TN 38134-8859 | 2019-06-25 |
1750732582 | Amanda Leigh Eaves | Nurse Practitioner | 364 S Front St Ste 201, Memphis, TN 38103 | 2016-06-22 |
1407115579 | Allyson Brooke Williams | Nurse Practitioner | 5050 Poplar Avenue Suite 511, Memphis, TN 38157-0618 | 2012-05-10 |
1497883607 | Gerome Alonzo Grivas | Nurse Practitioner | 3175 Lenox Park Blvd Ste 412, Memphis, TN 38115-4256 | 2007-03-01 |
1831172444 | Len N. Getz | Nurse Practitioner | 708 S Mendenhall Rd, Memphis, TN 38117-5213 | 2005-11-29 |
1326046707 | Angela C Hammond | Nurse Practitioner | 2579 Douglass Ave, Southeast Mental Health Center, Memphis, TN 38114-2532 | 2005-07-11 |
1447859053 | Willie Faye Kelly | Nurse Practitioner | 951 Court Ave, Memphis, TN 38103-2813 | 2020-10-23 |
1225643018 | Melanie Warren | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-09-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.