SHOT NURSE-MEMPHIS, P.C. (NPI# 1275941106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275941106 |
| Entity Type | Organization |
| Organization Name | SHOT NURSE-MEMPHIS, P.C. |
| Other Organization Name | THE SHOT NURSE |
| Practice Address |
714 N Germantown Pkwy Suite 11 Cordova TN 38018-6280 |
| Mailing Address |
4637 Poplar Ave Memphis TN 38117-4419 |
| Practice Telephone | 9016859999 |
| Mailing Telephone | 9016859999 |
| Mailing Fax Number | 9017678388 |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-24 |
| Authorized Official Name | DEBORAH OVERALL (VICE-PRESIDENT) |
| Authorized Official Telephone | 9016859999 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Shot Nurse | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134537061 | Shot Nurse-memphis, P.C. | Specialist | 7596 W Farmington Blvd, Germantown, TN 38138-2809 | 2014-07-23 |
| 1659524148 | Shot Nurse-memphis, P.C. | Community Health Worker | 4637 Poplar Ave, Memphis, TN 38117-4419 | 2008-10-28 |
| Street Address |
714 N GERMANTOWN PKWY SUITE 11 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-6280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403405 | Crossroads Treatment Centers of Tennessee, PC | Clinic/Center | 2305 N Gateway Ave Unit 4, Harriman, TN 37748-8683 | 2019-02-14 |
| 1306277041 | Hospital Transitional Care | Clinic/Center | 140 Allenhurst Cir, Franklin, TN 37067-7271 | 2013-12-05 |
| 1255673380 | Downtown Medical Clinic Pllc | Clinic/Center | 113 Hopkins Avenue, Bells, TN 38006 | 2013-03-27 |
| 1164652962 | The Steets Corporation | Clinic/Center | 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 | 2009-07-15 |
| 1699213348 | County of Blount | Clinic/Center | 301 Mcghee St, Maryville, TN 37801-6811 | 2017-02-02 |
| 1578018909 | Salvus Center, Inc. | Clinic/Center | 556 Hartsville Pike, Suite 200, Gallatin, TN 37066-2491 | 2016-08-15 |
| 1285002634 | Tri State Community Health Center | Clinic/Center | 4041 Knight Arnold Rd, Suite 100, Memphis, TN 38118-2128 | 2015-09-02 |
| 1457758112 | Psychiatric Clinic of Green Hills | Clinic/Center | 2125 Belcourt Ave, Nashville, TN 37212-3503 | 2014-11-24 |
| 1295136349 | Resurrection Health | Clinic/Center | 4095 American Way, Memphis, TN 38118-8339 | 2014-09-09 |
| 1720499692 | Chota Community Health Services | Clinic/Center | 3030 Lee Hwy, Athens, TN 37303-5062 | 2014-05-14 |
| Find all providers with the same taxonomy | ||||
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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.