MS. LANETRA ANN WILEY (NPI# 1407335490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407335490 |
Entity Type | Individual |
Full Name | MS. LANETRA ANN WILEY |
Credential | NP |
Practice Address |
160 S Hollywood St Memphis TN 38112-4801 |
Mailing Address |
850 Poplar Ave Bldg 2 Memphis TN 38105-4607 |
Practice Telephone | 9012877337 |
Practice Fax Number | 9012874787 |
Mailing Telephone | 9012875565 |
Enumeration Date | 2018-08-09 |
Last Update Date | 2019-12-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
24667 | TN | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
902467 | MS | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q053901 | 05 |
Street Address |
160 S HOLLYWOOD ST |
City | MEMPHIS |
State | TN |
Zip Code | 38112-4801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700072303 | Anne Marie Myers | Occupational Therapist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2007-09-18 |
1760955678 | Whitney Levy | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2019-01-03 |
1629544002 | Paige Satchel | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2018-10-23 |
1780159319 | Dorothy Rogers | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2018-10-10 |
1790250322 | Cynthia Waits | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2018-10-10 |
1528557444 | Mary Dumas | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2018-05-07 |
1447700760 | Denise Cox | Occupational Therapist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2016-10-11 |
1063962835 | Elizabeth Kate Warners | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2016-10-05 |
1164972931 | Jalisa Breanna Mayfield | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2016-10-05 |
1164970075 | Justine Judith Steele | Speech-Language Pathologist | 160 S Hollywood St, Memphis, TN 38112-4801 | 2016-09-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316427602 | Chs Tennessee Medical P C | Clinic/Center | 2680 Pershing Ave, Memphis, TN 38112 | 2018-08-16 |
1457688798 | Ethan Martin Langston | Counselor | 2714 Union Extended, Suite 400, Memphis, TN 38112 | 2009-11-06 |
1033345756 | Marquita Lachelle Little | Counselor | 2714 Union Avenue Extension, Suite 400, Memphis, TN 38112 | 2009-06-09 |
1366689481 | Open Hand Trans | Non-emergency Medical Transport (VAN) | 2600 Poplar Avenue 325, Memphis, TN 38112 | 2009-01-12 |
1952562696 | Christ Community Health Services Inc | Clinic/Center | 2861 Broad Avenue, Christ Community Health Services,inc, Memphis, TN 38112 | 2008-06-24 |
1013117225 | Yolanda Anthony-west | Dentist | 1045 Mullins Station Road, Memphis, TN 38112 | 2007-07-25 |
1083754634 | Trillium Womancare LLC | Advanced Practice Midwife | 2610 Autumn Avenue, Memphis, TN 38112 | 2007-02-06 |
1013066596 | Health Tech Affiliates | Counselor | 2670 Union Extended, Suite 610, Memphis, TN 38112 | 2007-01-10 |
1730238320 | James Matthew Doyle | Counselor | 2670 Union Extd Suite 610, Concern Eap, Memphis, TN 38112 | 2007-01-10 |
1619025087 | Nancy Whitman Manire | Social Worker | 2670 Union Ext, Suite 610, Memphis, TN 38112 | 2007-01-08 |
Find all providers in zip 38112 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629683453 | Monique Kyles | Nurse Practitioner | 148 Marrakesh Cir, Memphis, TN 38103-5830 | 2020-09-09 |
1295350361 | Amber Rose King | Nurse Practitioner | 439 N Graham St, Memphis, TN 38122-3831 | 2020-06-14 |
1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
1730568650 | Erin Burke | Nurse Practitioner | 262 Danny Thomas Place-mail Stop 260, Memphis, TN 38103 | 2015-05-26 |
1427443142 | Jamila Shani Smith-young | Nurse Practitioner | 51 N Dunlap #400, Memphis, TN 38103 | 2015-03-31 |
1457788606 | Lindsey Nicole Locke | Nurse Practitioner | 848 Adams Street, Memphis, TN 38103 | 2013-10-02 |
1851667992 | Brenda Hill | Nurse Practitioner | 920 Madison Ave, Suite 513, Memphis, TN 38163-2120 | 2012-03-22 |
1851378525 | Mindy J Lipson | Nurse Practitioner | 5293 S Angela Rd, Memphis, TN 38120-2203 | 2005-12-23 |
1609853381 | Kimberly E Proctor | Nurse Practitioner | 332 N Lauderdale St., Ms 133, Memphis, TN 38105-2794 | 2005-12-23 |
1528679651 | Heather Leigh Leland | Nurse Practitioner | 8071 Winchester Rd, Memphis, TN 38125-8206 | 2020-08-12 |
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.