ROSIE RETIC (NPI# 1407208648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407208648 |
Entity Type | Individual |
Full Name | ROSIE RETIC |
Credential | LADAC II |
Practice Address |
6249 Scarletcrest Ln Memphis TN 38115-6411 |
Practice Telephone | 9014066277 |
Mailing Telephone | 9014066277 |
Enumeration Date | 2016-07-12 |
Last Update Date | 2016-07-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1054 | TN | Behavioral Health & Social Service Providers |
Street Address |
6249 SCARLETCREST LN |
City | MEMPHIS |
State | TN |
Zip Code | 38115-6411 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891315370 | Janell Lennice C Jackson | Pharmacist | 3670 Riverdale Road, Memphis, TN 38115 | 2020-04-24 |
1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
1114580776 | Dee's Around The Clock | Home Health Aide | 6099 Apple Tree Suite35, Optional, Memphis, TN 38115 | 2019-04-19 |
1679047476 | Demetria S Summers | Home Health | 6099 Appletree, Suite35, Memphis, TN 38115 | 2019-01-15 |
1134698590 | Patriot Healthcare of Tennessee, LLC | Family Medicine | 3175 Lenox Park Boulevard, Suite 100, Memphis, TN 38115 | 2018-11-15 |
1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
1720597289 | Frank A Taylor Jr. | Nutritionist | 6061 Hickory Ridge Mall Ste. 452, Memphis, TN 38115 | 2017-09-27 |
1255717260 | Mary L Avery | Social Worker | 5563 Knight Arnold Rd., Memphis, TN 38115 | 2015-08-03 |
1104207166 | Good Shepherd Medication Management | Pharmacy | 6052 Hickory Ridge Mall Ste 148, Memphis, TN 38115 | 2015-06-16 |
1265811665 | Good Shepherd Health | Pharmacy | 6052 Hickory Ridge Mall, Suite 148, Memphis, TN 38115 | 2015-05-19 |
Find all providers in zip 38115 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831724327 | Cynthia Farmer | Counselor | 3256 River Valley Ln, Memphis, TN 38119-8091 | 2020-03-05 |
1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
1518441971 | Communityconnect | Counselor | 2555 Jeffries Cv, Memphis, TN 38133-5149 | 2018-09-21 |
1891293106 | Decrese A Beverly | Counselor | 5405 Fox Plaza Dr # 108g, Memphis, TN 38115 | 2018-02-01 |
1013421130 | Melvin Thomas Norman Jr. | Counselor | 119 Racine St Ste 105, Memphis, TN 38111-2729 | 2017-11-28 |
1902327018 | Lawrence Edward Wilson | Counselor | 1548 Poplar Ave, Memphis, TN 38104-2432 | 2017-06-28 |
1740731058 | Eurika Showers | Counselor | 4539 Winchester Rd Ste 111, Memphis, TN 38118-5100 | 2016-10-21 |
1639629942 | Chelsi Mcknuckles | Counselor | 4539 Winchester Rd, Suite 101, Memphis, TN 38118-5100 | 2016-10-11 |
1154871580 | Brenda Lang | Counselor | 2204 Labelle St, Memphis, TN 38114-5461 | 2016-10-10 |
1982159315 | Mufid Abdullah | Counselor | 719 Lydgate Rd, Memphis, TN 38116-5418 | 2016-08-15 |
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.