CRIS SANDRIDGE (NPI# 1053736710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053736710 |
| Entity Type | Individual |
| Full Name | CRIS SANDRIDGE |
| Practice Address |
2295 Hubbard Ave Memphis TN 38108-2347 |
| Practice Telephone | 6622099219 |
| Practice Fax Number | 6626225431 |
| Mailing Telephone | 6622099219 |
| Mailing Fax Number | 6626225431 |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P269971 | MS | Nursing Service Providers |
| Street Address |
2295 HUBBARD AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38108-2347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295208429 | Danny Winston B Robillo | Physical Therapist | 1143 Cully Road, Cordova, TN 38108 | 2019-01-10 |
| 1114235363 | Nikita Nicole Bratcher-johnson | Occupational Therapist | 1755 Eldridge Ave, Memphis, TN 38108-1115 | 2010-09-22 |
| 1770608457 | St. Clare Health and Rehab, LLC. | Intermediate Care Facility, Mental Illness | 1755 Eldridge Ave., Memphis, TN 38108-1115 | 2007-03-20 |
| 1093255101 | Ave Maria Home Dba St. Clare Health and Rehab, LLC | Skilled Nursing Facility | 1755 Eldridge Ave, Memphis, TN 38108-1115 | 2017-03-08 |
| 1033643549 | One and Only Resources Inc | Home Health | 1463 Britton St, Memphis, TN 38108-1304 | 2017-04-12 |
| 1154812790 | Brittany Sneed | Adult Companion | 2030 Nedra Ave, Memphis, TN 38108-1347 | 2018-05-18 |
| 1184117731 | Supportive Homecare, LLC | Adult Companion | 2030 Nedra Ave, Memphis, TN 38108-1347 | 2018-06-08 |
| 1700872975 | Gloria J Pryor | Dentist | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2005-09-23 |
| 1326404963 | Nicholas Cornell Brooks | Dentist | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2016-01-12 |
| 1538331533 | G J Pryor | Clinic/Center | 2410 Chelsea Ave, Memphis, TN 38108-1515 | 2008-03-31 |
| Find all providers in zip 38108 | ||||
| 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 |
| 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 |
| 1396913323 | Linda Harris | Licensed Practical Nurse | 7548 Easterly Ln, Memphis, TN 38125-4315 | 2008-02-12 |
| 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.