SHOT NURSE-MEMPHIS, P.C.


Address: 4637 Poplar Ave, Memphis, TN 38117-4419
Phone: 9016859999

SHOT NURSE-MEMPHIS, P.C. (NPI# 1659524148) 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) 1659524148
Entity Type Organization
Organization Name SHOT NURSE-MEMPHIS, P.C.
Practice Address 4637 Poplar Ave
Memphis
TN 38117-4419
Practice Telephone 9016859999
Practice Fax Number 9017678388
Mailing Telephone 9016859999
Mailing Fax Number 9017678388
Enumeration Date 2008-10-28
Last Update Date 2014-07-24
Authorized Official Name DEBORAH YVONNE OVERALL (VICE-PRESIDENT)
Authorized Official Telephone 9016859999
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 172V00000X Community Health Worker Other Service Providers
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275941106 Shot Nurse-memphis, P.C. Specialist 714 N Germantown Pkwy, Suite 11, Cordova, TN 38018-6280 2014-07-23
1134537061 Shot Nurse-memphis, P.C. Specialist 7596 W Farmington Blvd, Germantown, TN 38138-2809 2014-07-23

Office Location

Street Address 4637 POPLAR AVE
City MEMPHIS
State TN
Zip Code 38117-4419

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154980639 Zup Medical Services, LLC Clinic/Center 4576 Poplar Avenue, Memphis, TN 38117 2019-06-10
1104386028 Faith Christie Leigh Roby Counselor 4646 Poplar Ave Ste 510, Memphis, TN 38117 2019-03-25
1023511300 Genita Lashonda Johnson-hammond Specialist 4565 Quince Rd, 1b, Memphis, TN 38117 2018-03-14
1023547494 Rivka R Braverman Licensed Practical Nurse 5050 Sanderlin Avenue, Memphis, TN 38117 2017-06-08
1285002451 Shauna Lomax Physical Therapy Assistant 258 Leonora Dr, Memphis, TN 38117 2015-09-04
1255735569 Caring Hearts of The Mid South In Home Supportive Care 4646 Poplar, Suite 213b, Memphis, TN 38117 2014-10-15
1063821296 Tomasz A Charowski Dentist 670 Colonial Rd Ste 3, Memphis, TN 38117 2014-08-13
1255760385 Tennessee Dental Professionals PC Dentist 370 Colonial Road, 3, Memphis, TN 38117 2013-11-08
1447692264 Dory Sellers Dentist 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 2013-07-22
1366791808 Amirio Jonte Armour Pharmacist 1760 Moriah Woods, Suite 2, Memphis, TN 38117 2012-08-30
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285002634 Tri State Community Health Center Clinic/Center 4041 Knight Arnold Rd, Suite 100, Memphis, TN 38118-2128 2015-09-02
1295136349 Resurrection Health Clinic/Center 4095 American Way, Memphis, TN 38118-8339 2014-09-09
1043448632 Brookhaven Chiropractic Center, Pllc Clinic/Center 721 W Brookhaven Cir, Memphis, TN 38117-4503 2009-06-23
1699941195 Methodist Healthcare Community Care Associates Clinic/Center 6400 Shelby View Dr, Suite 101, Memphis, TN 38134-7659 2008-05-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316403405 Crossroads Treatment Centers of Tennessee, PC Clinic/Center 2305 N Gateway Ave Unit 4, Harriman, TN 37748-8683 2019-02-14
1306277041 Hospital Transitional Care Clinic/Center 140 Allenhurst Cir, Franklin, TN 37067-7271 2013-12-05
1255673380 Downtown Medical Clinic Pllc Clinic/Center 113 Hopkins Avenue, Bells, TN 38006 2013-03-27
1164652962 The Steets Corporation Clinic/Center 3566 N Highland Ave, Suite A, Jackson, TN 38305-7890 2009-07-15
1699213348 County of Blount Clinic/Center 301 Mcghee St, Maryville, TN 37801-6811 2017-02-02
1578018909 Salvus Center, Inc. Clinic/Center 556 Hartsville Pike, Suite 200, Gallatin, TN 37066-2491 2016-08-15
1457758112 Psychiatric Clinic of Green Hills Clinic/Center 2125 Belcourt Ave, Nashville, TN 37212-3503 2014-11-24
1720499692 Chota Community Health Services Clinic/Center 3030 Lee Hwy, Athens, TN 37303-5062 2014-05-14
1609113224 Montgomery County Health Department Clinic/Center 330 Pageant Ln, Clarksville, TN 37040-3854 2013-01-16
1154666451 The Vaccination Clinic, PC Clinic/Center 7648 Highway 70 S, Suite 15, Nashville, TN 37221-1742 2012-11-28
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Competitor

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City MEMPHIS
Zip Code 38117

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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