MS. LANETRA ANN WILEY


Address: 160 S Hollywood St, Memphis, TN 38112-4801
Phone: 9012877337

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
TN Q053901 05

Office Location

Street Address 160 S HOLLYWOOD ST
City MEMPHIS
State TN
Zip Code 38112-4801

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City MEMPHIS
Zip Code 38112

Improve Information

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Dataset Information

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.

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