UNIVERSITY OF TENNESSEE (NPI# 1427064880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427064880 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF TENNESSEE |
| Other Organization Name | BOLING CENTER FOR DEVELOPMENTAL DISABILITIES |
| Practice Address |
711 Jefferson Avenue Memphis TN 38105-5003 |
| Mailing Address |
Po Box 100 Department 289b Memphis TN 38148 |
| Practice Telephone | 9014486511 |
| Practice Fax Number | 9014487097 |
| Mailing Telephone | 7316640994 |
| Mailing Fax Number | 8666640992 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FREDERICK B PALMER (NEURODEVELOPMENTAL PEDIATRICIAN DIR) |
| Authorized Official Telephone | 9014486511 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
LM222M20956033 | TN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 4447962 | 05 |
| Other Name | Type Code |
|---|---|
| Boling Center For Developmental Disabilities | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902278179 | University of Tennessee | Anaplastologist | 875 Union Ave., Rooms S510b, Memphis, TN 38163-0001 | 2015-10-27 |
| 1740577428 | University of Tennessee | Student in an Organized Health Care Education/Training Program | 62 N Main St, Memphis, TN 38103 | 2011-07-01 |
| 1366756082 | University of Tennessee | Clinical Nurse Specialist | 220 Langland Street, Knoxville, TN 37915 | 2010-08-05 |
| 1033345541 | University of Tennessee | Special Hospital | 60 Harbor Town Sq, Memphis, TN 38103-8850 | 2009-06-10 |
| 1518037183 | University of Tennessee | Medical Genetics, Ph.D. Medical Genetics | 1930 Alcoa Hwy Ste 435, Ut Genetics Center, Knoxville, TN 37920-1520 | 2006-11-09 |
| 1386625846 | University of Tennessee | Audiologist | 1600 Peyton Manning Pass, Knoxville, TN 37996-0001 | 2005-11-10 |
| 1780686170 | University of Tennessee | Family Medicine | 1301 Primacy Pkwy, Memphis, TN 38119-0213 | 2005-08-15 |
| 1912556895 | University of Tennessee | Dentist | 848 Adams Ave., Suite 101, Memphis, TN 38103-2816 | 2019-09-04 |
| 1235666793 | University of Tennessee | General Acute Care Hospital | 920 Madison Ave, Suite 447, Memphis, TN 38103-3438 | 2017-05-16 |
| 1427420561 | University of Tennessee | Dentist | 875 Union Ave., Suite C303, Memphis, TN 38103-3513 | 2015-10-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE | 304 Administration Bldg, Martin, TN 38238-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE AT CHATTANOOGA | 615 Mccallie Ave, Chattanooga, TN 37403-2504 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE BUSINESS AFFAIRS | 116 Administration Bldg, Martin, TN 38238-0001 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE INSTITUTE OF PUBLIC SERVICE/TENNESSEE LANGUAGE CENTER | 220 French Landing Dr Ste 1b, Nashville, TN 37243-1002 |
| System for Award Management (SAM) Entities | UNIVERSITY OF TENNESSEE RESEARCH FOUNDATION | 600 Henley St Ste 211, Knoxville, TN 37996-0001 |
| Street Address |
711 JEFFERSON AVENUE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38105-5003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336255199 | Karen S Hudson | Speech-Language Pathologist | 711 Jefferson Avenue, Memphis, TN 38105-5003 | 2006-08-22 |
| 1720096167 | Denice J Perkins | Speech-Language Pathologist | 711 Jefferson Avenue, Memphis, TN 38105-5003 | 2006-08-03 |
| 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 | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235522418 | Krystel Hope & Care | Clinic/Center | 4466 Elvis Presley Blvd, Suite #118, Memphis, TN 38116-7180 | 2015-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439041 | Aba Effects | Clinic/Center | 9050 Corporate Gardens Dr, Germantown, TN 38138-7822 | 2020-08-29 |
| 1366051823 | My Holistic Life, LLC | Clinic/Center | 10454 Juneau Way, Collierville, TN 38017-1968 | 2020-07-30 |
| 1356903272 | Peer Foundations, LLC | Clinic/Center | 3644 Talahi Dr, Knoxville, TN 37919-7766 | 2019-07-01 |
| 1801322078 | Caring Hands Developmental Services Inc. | Clinic/Center | 609 E Lafayette St, Jackson, TN 38301-6422 | 2017-05-10 |
| 1437533049 | Ausome Kidz Therapeutic Services | Clinic/Center | 1001 N Roan St, Johnson City, TN 37601-4669 | 2015-07-13 |
| 1033510250 | Group Effort of Tennessee, LLC. | Clinic/Center | 220 S Hickory Ave, Gallatin, TN 37066-3291 | 2014-09-07 |
| 1679816243 | Open Arms Health System, LLC | Clinic/Center | 7325 Oak Ridge Hwy, Suite 100, Knoxville, TN 37931-3494 | 2013-04-02 |
| 1285872036 | Faces of Hope Children's Therapy Center | Clinic/Center | 185 W Franklin St, Gallatin, TN 37066-2764 | 2009-02-02 |
| 1215073887 | Lakeway Achievement Center | Clinic/Center | 320 Industrial Ave, Morristown, TN 37813-1106 | 2007-01-30 |
| 1114073368 | Cornerstone Personal Care Services | Clinic/Center | 808 Tusculum Blvd, Greeneville, TN 37745-5123 | 2007-01-27 |
| 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.