CATHERINE TALBOT LACKIE (NPI# 1629309463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629309463 |
| Entity Type | Individual |
| Full Name | CATHERINE TALBOT LACKIE |
| Other Name | CATHERINE PAGE TALBOT |
| Credential | FNP |
| Practice Address |
6286 Briarcrest Ave Ste 200 Memphis TN 38120-4023 |
| Mailing Address |
6077 Primacy Pkwy Ste 140 Memphis TN 38119-5742 |
| Practice Telephone | 9016413000 |
| Practice Fax Number | 9012591698 |
| Mailing Telephone | 9017258347 |
| Mailing Fax Number | 9012597637 |
| Enumeration Date | 2010-01-19 |
| Last Update Date | 2019-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 168742 | TN | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
14930 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3371161 | 05 | |
| MS | 7187860 | 05 | |
| MS | BCBS MS | 620819926 | 01 |
| AR | 110318002 | 05 | |
| TN | BCBS TN | 4306810 | 01 |
| TN | AETNA | 620819926 | 01 |
| TN | AETNA | 9337653 | 01 |
| Street Address |
6286 BRIARCREST AVE STE 200 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700889730 | Kenneth S Weiss | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2005-05-23 |
| 1578197919 | Emma Virginia Cotton | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2020-02-25 |
| 1295395333 | Maria Moore | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2019-06-20 |
| 1861960312 | Kori Taylor | Occupational Therapist | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2018-11-02 |
| 1851805550 | David James Caswell | Physical Therapy Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2017-11-17 |
| 1407391055 | Jessica Bradshaw | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2017-01-05 |
| 1326592015 | Sarah Elizabeth Hill | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2016-08-10 |
| 1396194122 | Leslie Frazier | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2016-06-13 |
| 1689040271 | Sarah Anne Hammond | Physician Assistant | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2015-08-18 |
| 1457770588 | William Austin Hester IIi | Orthopaedic Surgery | 6286 Briarcrest Ave Ste 200, Memphis, TN 38120-4023 | 2014-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| 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.