DR. BRANDON C HABKOUK


Address: 1265 Union Ave, Memphis, TN 38104-3415
Phone: 9015167000

DR. BRANDON C HABKOUK (NPI# 1972025179) 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) 1972025179
Entity Type Individual
Full Name DR. BRANDON C HABKOUK
Credential DNP, APRN
Practice Address 1265 Union Ave
Memphis
TN 38104-3415
Mailing Address 8245 Hunters Meadow Ln
Arlington
TN 38002-8420
Practice Telephone 9015167000
Enumeration Date 2017-07-10
Last Update Date 2017-08-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 191357 TN Nursing Service Providers
Y 363L00000X Nurse Practitioner 22919 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1265 UNION AVE
City MEMPHIS
State TN
Zip Code 38104-3415

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952304107 David P Fang Radiology 1265 Union Ave, Memphis, TN 38104-3415 2005-05-23
1467069369 Melissa Madolyn Morgan Nurse Practitioner 1265 Union Ave, Memphis, TN 38104-3415 2020-09-25
1306459516 Vladyslava Inman Nurse Practitioner 1265 Union Ave, Memphis, TN 38104-3415 2020-08-26
1073126553 Katherine Ann Palo Nurse Practitioner 1265 Union Ave, Memphis, TN 38104-3415 2020-08-25
1194335729 Britney Michelle Holton Nurse Practitioner 1265 Union Ave, Memphis, TN 38104-3415 2020-08-07
1568082394 Joan Danelle Morris Dietitian, Registered 1265 Union Ave, 4th Floor, Shorb Tower, Memphis, TN 38104 2020-04-22
1255950648 Liza Southerton Dietitian, Registered 1265 Union Ave, Memphis, TN 38104-3415 2020-04-15
1306465711 Andrew Tutor Student in an Organized Health Care Education/Training Program 1265 Union Ave, Thomas Wing, 7th Floor, Rm 707, Memphis, TN 38104 2020-04-15
1275152761 Jessica Galtelli Dietitian, Registered 1265 Union Ave, 612 Thomas, Nutrition Dept, Memphis, TN 38104 2020-04-14
1932728029 Allison Elizabeth Bray Dietitian, Registered 1265 Union Ave, Memphis, TN 38104-3415 2020-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952900367 Christy White Recreation Therapist 1030 Jefferson Ave (rt117), Memphis, TN 38104 2020-10-19
1821615873 Altiana Carter Optometrist 650 New York St, Memphis, Tn 38104, Memphis, TN 38104 2020-06-25
1952898413 Family To Family Adult Care Service Chore Provider 1331 Union Ave Suite 1028, Mempnis, TN 38104 2018-04-19
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1649799339 Benjamin Duhart Jr. Pharmacist 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 2017-09-13
1134644982 Amy Michelle Wise Nurse Practitioner 1325 Eastmoreland Ave Ste 500, Memphis, TN 38104 2017-08-13
1316468572 Jinger Cathey Social Worker 1330 Jefferson Ave, Memphis, TN 38104 2017-06-28
1336669183 Charma May Kavuncu Social Worker 1407 Union Ave Ste 1100, Memphis, TN 38104 2017-06-22
1003345398 Angelica J Dennis Nurse Practitioner 1265 Union, Memphis, TN 38104 2017-06-08
1609302546 Cheryl Beene Nurse Practitioner 1211 Union Ave Ste 475, Memphis, TN 38104 2017-05-11
Find all providers in zip 38104

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982204038 Ann Clare Guest Nurse Practitioner 1483 Goodbar Ave, Memphis, TN 38104-4912 2020-10-28
1154936946 Allyson Escott Dormois Nurse Practitioner 130 Flicker St, Memphis, TN 38104-5928 2020-09-09
1831702224 Tennessee In-home Partner-iv, LLC Nurse Practitioner Sumner Medical Plaza, 300 Steam Plant Road, Suite 220, Memphis, TN 37066-3032 2020-08-26
1881160059 Christopher Paul Hernandez Nurse Practitioner 877 Jeffeon Ave, Memphis, TN 38103 2018-10-15
1326544800 Kimberly Vestoria Mcclinton Nurse Practitioner 2200 Union Ave 1, Memphis, TN 38104 2018-04-03
1780199786 Shkendie Papraniku Nurse Practitioner 6005 Park Ave Ste 510, Memphis, TN 38119-5215 2017-12-12
1063926079 Megan Lee Alexander Nurse Practitioner 877 Jefferson Ave Fl 2, Memphis, TN 38103-2807 2017-11-29
1427568260 Miranda D White Nurse Practitioner 6027 Walnut Grove Rd Ste 114, Memphis, TN 38120-2115 2017-10-06
1184098956 Mika Tralayne Jackson Nurse Practitioner 4075 S Lakewood Dr, Memphis, TN 38128-4401 2015-11-17
1184009649 Linda Fay Williams Nurse Practitioner 3655 Haughton Lane #2, Memphis, TN 38128 2015-07-27
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Competitor

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City MEMPHIS
Zip Code 38104

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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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