HOMETOWN MEDICAL SERVICES (NPI# 1790756484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790756484 |
| Entity Type | Organization |
| Organization Name | HOMETOWN MEDICAL SERVICES |
| Practice Address |
3909 Covington Pike Memphis TN 38135-2281 |
| Mailing Address |
Po Box 305 Mason TN 38049-0305 |
| Practice Telephone | 9014769996 |
| Practice Fax Number | 9014769986 |
| Mailing Telephone | 9014769996 |
| Mailing Fax Number | 9014769986 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2016-01-06 |
| Authorized Official Name | MR. ALAN BRIAN HOPKINS (OWNER) |
| Authorized Official Telephone | 9014769996 |
| Authorized Official Credential | ACNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
TN102421 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 300133047 | 05 |
| Street Address |
3909 COVINGTON PIKE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38135-2281 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598913899 | Ravyn Murden | Occupational Therapist | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-29 |
| 1215185525 | Susannah Lawson Morse | Speech-Language Pathologist | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-29 |
| 1043468473 | Sharon Denice Wallace | Physical Therapy Assistant | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-27 |
| 1104073915 | Maria Glenda Dala Ongay | Physical Therapist | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-22 |
| 1750538641 | Sabrina Savarin | Student in an Organized Health Care Education/Training Program | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-21 |
| 1508022195 | Emma Jean Spade | Physical Therapy Assistant | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-03 |
| 1669638250 | Maria Cecilia Posada Estipona | Physical Therapist | 3909 Covington Pike, Memphis, TN 38135-2281 | 2008-08-02 |
| 1821169517 | Memphis Operator, LLC | Skilled Nursing Facility | 3909 Covington Pike, Memphis, TN 38135-2281 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326677907 | Hamad Ahmad Md PC | Family Medicine | 6490 Memphis Arlington Rd Suite 106, Bartlett, TN 38135 | 2020-04-06 |
| 1699143156 | Cortney Brugal | Pharmacist | 3881 Rim Creek Ln, Memphis, TN 38135 | 2015-09-14 |
| 1841689783 | Georginia Melius Ix | Occupational Therapist | 3655 Jalan Drive, Bartlett, TN 38135 | 2015-01-15 |
| 1518123033 | Sheila Ann Perkins | Occupational Therapy Assistant | 3909 Old Covington Pike Road, Memphis, TN 38135 | 2008-08-04 |
| 1881815801 | Rahul Vasant Sonone | Psychiatry & Neurology | 7645 Wolfriver Circle, 100, Germatown, TN 38135 | 2007-05-01 |
| 1295873842 | Tanya Lasha Hill | Counselor | 7410 Memphis-arlington Road, Memphis, TN 38135 | 2007-02-02 |
| 1013056084 | Nicole Lynn Gebke | Social Worker | 7410 Memphis-arlington Rd, Bartlett, TN 38135 | 2007-02-06 |
| 1922056431 | Carl J Siciliano | Podiatrist | 7424 Us Highway 64, Ste 119, Bartlett, TN 38135 | 2006-05-05 |
| 1053949586 | Michella Glenna Douglas | Physician Assistant | 3911 Oak Branch Cir W, Memphis, TN 38135-0213 | 2020-03-30 |
| 1124671060 | Anne Ellen Roberson | Nurse Practitioner | 3924 Oak Branch Cir E, Bartlett, TN 38135-0223 | 2019-07-19 |
| Find all providers in zip 38135 | ||||
| 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.