SHIRLEY SPILLER-JOHNSON (NPI# 1740678960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740678960 |
| Entity Type | Individual |
| Full Name | SHIRLEY SPILLER-JOHNSON |
| Credential | ADMINISTRATOR/OPERAT |
| Practice Address |
2051 Montreat Dr Memphis TN 38134-6613 |
| Practice Telephone | 9015987437 |
| Practice Fax Number | 9013887366 |
| Mailing Telephone | 9015987437 |
| Mailing Fax Number | 9013887366 |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 0000000565 | TN | Nursing Service Providers |
| N | 372500000X | Chore Provider | 0000000565 | TN | Nursing Service Related Providers |
| N | 372600000X | Adult Companion | 0000000565 | TN | Nursing Service Related Providers |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
0000000565 | TN | Nursing Service Related Providers |
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
0000000565 | TN | Nursing Service Related Providers |
| N | 376G00000X | Nursing Home Administrator | 0000000565 | TN | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | H445488 | 05 |
| Street Address |
2051 MONTREAT DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38134-6613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437468295 | Shirley Ann Spiller-johnson | Custodial Care Facility | 2051 Montreat Dr, Memphis, TN 38134-6613 | 2010-09-28 |
| 1649656844 | Prestige Care Home/angelic Visits | Assisted Living Facility | 2051 Montreat Dr, Memphis, TN 38134-6613 | 2015-08-11 |
| 1609264142 | Prestige Care Home | Home Health | 2051 Montreat Dr, Memphis, TN 38134-6613 | 2015-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989521 | April Nicole Milam | Licensed Practical Nurse | 600 Jefferson Ave Ste 350, Memphis, TN 38105-4900 | 2020-10-14 |
| 1902410855 | Jessica Adams | Licensed Practical Nurse | 1496 Dardon Ave, Memphis, TN 38116-8410 | 2020-09-08 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1861932162 | Gloria J Pegues | Licensed Practical Nurse | 7117 Millers Glen Way, Memphis, TN 38125-4179 | 2017-03-06 |
| 1053736710 | Cris Sandridge | Licensed Practical Nurse | 2295 Hubbard Ave, Memphis, TN 38108-2347 | 2014-03-04 |
| 1114349313 | Mckinley Willingham | Licensed Practical Nurse | 6821 Raleigh Lagrange Rd, Memphis, TN 38134-7031 | 2014-01-08 |
| 1902248552 | Pamela Rene Merriweather | Licensed Practical Nurse | 3041 Getwell Rd Ste 101, Memphis, TN 38118-3737 | 2013-07-24 |
| 1497982367 | Jessie James Dwyer | Licensed Practical Nurse | 1120 Morgan Rd, Memphis, NY 13112-8717 | 2009-06-17 |
| 1831346584 | Deyae Stewart | Licensed Practical Nurse | 4555 Cognac Cv, Memphis, TN 38141-7803 | 2008-08-25 |
| 1396918033 | Amy Lynne Miller | Licensed Practical Nurse | 5856 Fowler Rd, Memphis, NY 13112-8784 | 2008-04-02 |
| 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.