PHYLLIS PERSON (NPI# 1851937791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851937791 |
| Entity Type | Individual |
| Full Name | PHYLLIS PERSON |
| Practice Address |
292 Modder Ave Memphis TN 38109 |
| Practice Telephone | 9016903280 |
| Mailing Telephone | 9016903280 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
292 MODDER AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598233900 | Catherine Denise Baines | Technician | 697 Whitehave Lane, Memphis, TN 38109 | 2018-11-05 |
| 1821597808 | Patricia Ann Brookins | Occupational Therapy Assistant | 922 Leacrest Ave, Memphis, TN 38109 | 2018-02-06 |
| 1922371657 | Rhonda Boutte | Pharmacist | 4155 Highway 61 South, Memphis, TN 38109 | 2012-02-10 |
| 1255616736 | Kandace Diggins | Pharmacist | 4155 Highway 61 S, Memphis, TN 38109 | 2011-10-17 |
| 1700161296 | Keith D Rubrum | Pharmacist | 4155 Hwy 61 S, Memphis, TN 38109 | 2011-10-15 |
| 1487940011 | Count Own Transportion | Non-emergency Medical Transport (VAN) | 4093 Ponca St, Memphis, TN 38109 | 2011-06-22 |
| 1083876502 | Patrickgrapevine | Community/Behavioral Health | 1833 South Third Street, Memphis, TN 38109 | 2008-06-26 |
| 1790837797 | 2001 Vision Center | Optometrist | 1930 South Third St, Memphis, TN 38109 | 2007-01-18 |
| 1750499984 | Jeff A. Beekhuizen | Family Medicine | 3362 S. Third Street, Christ Community Health Services Inc, Memphis, TN 38109 | 2006-08-28 |
| 1851531164 | Mary Kathryn Vescovo | Nurse Practitioner | 3362 S. Third Street, Christ Community Health Service Inc, Memphis, TN 38109 | 2009-02-26 |
| Find all providers in zip 38109 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1871131037 | Cassandra Jean Cowans | Technician | 3106 Harris Ave, Memphis, TN 38114 | 2019-12-18 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1760026488 | Clara Smith | Technician | 3192 Walnut Grove Rd, Memphis, TN 38111-3637 | 2019-11-06 |
| 1982246393 | A.y Nunley | Technician | 5614 Crepe Myrtle Drive, Memphis, TN 38115 | 2019-10-17 |
| 1477050557 | Brandy Harris | Technician | 4518 Hickory Branch Dr, Memphis, TN 38141-7607 | 2018-04-06 |
| 1568858025 | Carlton Phillips | Technician | 4692 Tut Cv, Memphis, TN 38128-1487 | 2015-04-11 |
| 1912324674 | Consumer Home Healthcare Agency | Technician | 3340 Poplar Ave Ste 201, Memphis, TN 38111-4680 | 2014-03-19 |
| 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.