MRS. BRENDA A. HADDAKIN (NPI# 1225061195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225061195 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA A. HADDAKIN |
| Credential | LPN |
| Practice Address |
711 Jefferson Ave Memphis TN 38105-5003 |
| Practice Telephone | 9014486511 |
| Practice Fax Number | 9014487097 |
| Mailing Telephone | 9014486511 |
| Mailing Fax Number | 9014487097 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN0000023486 | TN | Nursing Service Providers |
| Street Address |
711 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921226 | Ronald Rafael Espinal | Pediatrics | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2005-09-06 |
| 1043822711 | Alexandra Marie Vohs | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-08-23 |
| 1487276523 | Shana Jen Crispin | Social Worker | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-05-12 |
| 1699305102 | Elizabeth Adams | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2020-01-23 |
| 1023677028 | Katherine Eileen O'bar | Dietitian, Registered | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-06-12 |
| 1659831451 | Philip A Norfolk | Psychologist | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-03-20 |
| 1780140376 | Takiiah Parker | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2019-02-19 |
| 1811467731 | Jessica M James | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-12-04 |
| 1619472065 | Jaime Tolleth | Behavioral Analyst | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-03-28 |
| 1255849691 | Michelle Elizabeth Pleasant | Behavior Technician | 711 Jefferson Ave, Memphis, TN 38105-5003 | 2018-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
| 1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
| 1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
| 1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
| 1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
| 1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
| 1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
| 1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
| 1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
| 1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
| Find all providers in zip 38105 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989521 | April Nicole Milam | Licensed Practical Nurse | 600 Jefferson Ave Ste 350, Memphis, TN 38105-4900 | 2020-10-14 |
| 1902410855 | Jessica Adams | Licensed Practical Nurse | 1496 Dardon Ave, Memphis, TN 38116-8410 | 2020-09-08 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1861932162 | Gloria J Pegues | Licensed Practical Nurse | 7117 Millers Glen Way, Memphis, TN 38125-4179 | 2017-03-06 |
| 1053736710 | Cris Sandridge | Licensed Practical Nurse | 2295 Hubbard Ave, Memphis, TN 38108-2347 | 2014-03-04 |
| 1114349313 | Mckinley Willingham | Licensed Practical Nurse | 6821 Raleigh Lagrange Rd, Memphis, TN 38134-7031 | 2014-01-08 |
| 1902248552 | Pamela Rene Merriweather | Licensed Practical Nurse | 3041 Getwell Rd Ste 101, Memphis, TN 38118-3737 | 2013-07-24 |
| 1497982367 | Jessie James Dwyer | Licensed Practical Nurse | 1120 Morgan Rd, Memphis, NY 13112-8717 | 2009-06-17 |
| 1831346584 | Deyae Stewart | Licensed Practical Nurse | 4555 Cognac Cv, Memphis, TN 38141-7803 | 2008-08-25 |
| 1396918033 | Amy Lynne Miller | Licensed Practical Nurse | 5856 Fowler Rd, Memphis, NY 13112-8784 | 2008-04-02 |
| Find all providers in MEMPHIS | ||||
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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.