RSK ENTERPRISES LLC (NPI# 1952555872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952555872 |
| Entity Type | Organization |
| Organization Name | RSK ENTERPRISES LLC |
| Practice Address |
6005 Park Ave Ste 630b Memphis TN 38119-5226 |
| Practice Telephone | 9017671136 |
| Mailing Telephone | 9017671136 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2008-11-20 |
| Authorized Official Name | MRS. SUE STOVALL (RN, MANAGING MEMBER) |
| Authorized Official Telephone | 9017671136 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | RSK ENTERPRISES LLC | 2619 Nw Ordway Ave, Unit 2, Bend, OR 97701 |
| Street Address |
6005 PARK AVE STE 630B |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902991706 | Kenny Nmi Terry | Psychiatry & Neurology | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-10-04 |
| 1265030175 | Clifton Mcrae Allred | Registered Nurse | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2020-10-13 |
| 1841787694 | Dennis Lamar Painter I | Psychologist | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2018-04-17 |
| 1356850283 | Sarah Vogelfanger | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2017-09-22 |
| 1174032213 | Michael David Hobbs | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2017-09-20 |
| 1043752793 | Camillia Haddix | Registered Nurse | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2016-11-12 |
| 1679716013 | Nga Huynh | Psychiatry & Neurology | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2009-04-15 |
| 1982855763 | First Pharmacy Services of Park Ave Inc | Durable Medical Equipment & Medical Supplies | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2008-10-10 |
| 1902966765 | Chante Smith-steward Fason | Nurse Practitioner | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-12-11 |
| 1639265085 | Deronda Vynette Terry | Counselor | 6005 Park Ave Ste 630b, Memphis, TN 38119-5226 | 2006-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 364SP0810X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Family |
| Definition to come... |
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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.