STATE OF TENNESSEE (NPI# 1083853105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083853105 |
Entity Type | Organization |
Organization Name | STATE OF TENNESSEE |
Other Organization Name | MEMPHIS AND SHELBY COUNTY HEALTH |
Practice Address |
814 Jefferson Ave Memphis TN 38105-5041 |
Practice Telephone | 9015447597 |
Practice Fax Number | 9015447602 |
Mailing Telephone | 9015447597 |
Mailing Fax Number | 9015447602 |
Enumeration Date | 2009-02-12 |
Last Update Date | 2019-09-26 |
Authorized Official Name | MS. KIMBERLI FITZPATRICK (BILLING AND OPERATIONS MANAGER) |
Authorized Official Telephone | 4233072330 |
Authorized Official Credential | BA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 0000002280 | TN | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | CLIA | 44D0663079 | 01 |
Other Name | Type Code |
---|---|
MEMPHIS AND SHELBY COUNTY HEALTH | Doing Business As Name - Organization |
Memphis and Shelby County Health Dept Laboratory | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417337056 | State of Tennessee | Physical Therapist | 400 Deaderick St, Citizens Plaza, 9th Floor, Nashville, TN 37243-0001 | 2015-06-08 |
1023412020 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2324 Asheville Highway, Greeneville, TN 37743 | 2014-10-20 |
1871997163 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 803 Redbud Dr, Greeneville, TN 37743-6141 | 2014-10-15 |
1437552536 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 645 Rambo Road, Greeneville, TN 37743 | 2014-10-02 |
1114330545 | State of Tennessee | Occupational Therapist | 301 Stewarts Ferry Pike, Didd Middle Tn Seating and Positioning Clinic, Nashville, TN 37214-3340 | 2014-06-03 |
1356770531 | State of Tennessee | Public Health or Welfare | 1660 Silverado Ct, Sevierville, TN 37876-4426 | 2013-11-07 |
1699104885 | State of Tennessee | Public Health or Welfare | 485 Sulphur Hollow Rd, Tazewell, TN 37879-5170 | 2013-11-07 |
1780958454 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2497 Buckingham Rd., Greeneville, TN 37743 | 2012-02-28 |
1629342415 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 102 Dyer St., Greeneville, TN 37743 | 2012-02-27 |
1639443419 | State of Tennessee | Intermediate Care Facility, Mentally Retarded | 2499 Buckingham Rd., Greeneville, TN 37745 | 2012-02-27 |
Street Address |
814 JEFFERSON AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38105-5041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255320248 | Anne Hill | Dentist | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2005-10-21 |
1316579816 | Sheila Maclin | Nurse Practitioner | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2020-02-12 |
1881180206 | Chudney Akissi Williams | Nurse Practitioner | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2018-07-09 |
1255565305 | Kenneth Stanley Robinson | Preventive Medicine | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2009-05-05 |
1285845750 | Memphis and Shelby County Health Department | Pharmacy | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-05-25 |
1154537876 | Memphis and Shelby County Health Dept Pharmacy | Pharmacist | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-05-16 |
1285857599 | Joanne Brown | Registered Nurse | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-04-11 |
1235352543 | Leslie R Gordon | Dentist | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-04-11 |
1518099936 | Darlene B Olive | Registered Nurse | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-03-12 |
1508998907 | Sharon H Wright | Registered Nurse | 814 Jefferson Ave, Memphis, TN 38105-5041 | 2007-03-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447887435 | Leeanne Chittom Mcdonald | Dietitian, Registered | Ulps Surgery, 2nd Floor, 50 N. Dunlap, Memphis, TN 38105 | 2020-03-27 |
1619508942 | Victoria Mackay | Physician Assistant | 595 Danny Thomas Place, Memphis, TN 38105 | 2020-01-27 |
1720436710 | Angela Marie Pratt | Nurse Practitioner | 262 Danny Thomas Blvd, Memphis, TN 38105 | 2016-05-31 |
1326434465 | Amanda Green | Pediatrics | 262 N Danny Thomas Blvd # Ms 320, Memphis, TN 38105 | 2015-04-15 |
1467864173 | Nicole Mary Alberts | Psychologist | 262 Danny Thomas Place, Mail Stop 740, Department of Psychology, St Jude Children's Research H, Memphis, TN 38105 | 2014-05-29 |
1689004160 | Virginia Carney | Dietitian, Registered | 262 Danny Thomas Place - Mail Stop 732, Memphis, TN 38105 | 2013-11-19 |
1447506365 | Nickhill Hitesh Bhakta | Pediatrics | 262 Danny Thomas Way, Ms 721, Memphis, TN 38105 | 2012-07-29 |
1457622235 | Healthy Indigent Populations Inc. | Exclusive Provider Organization | 1066 Delmar, Memphis, TN 38105 | 2012-01-25 |
1285953265 | Nicholas Steve Phillips | Student in an Organized Health Care Education/Training Program | 262 Danny Thomas Place, Mail Stop 735, Memphis, TN 38105 | 2010-05-31 |
1205151776 | Kyle Joseph Morgan | Anesthesiology | 262 Danny Thomas Pl Dept Of, Memphis, TN 38105 | 2010-03-28 |
Find all providers in zip 38105 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (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. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366065005 | Neovect Technologies, LLC | Clinical Medical Laboratory | 287 Wilkinson Pl, Memphis, TN 38111-6125 | 2020-05-27 |
1164910758 | Urban Alpha | Clinical Medical Laboratory | 6286 Quince Rd, Memphis, TN 38119-7629 | 2018-04-29 |
1205355377 | Cquentia Ngs, LLC | Clinical Medical Laboratory | 3742 Tyndale Dr, Memphis, TN 38125-8500 | 2017-09-11 |
1124442306 | Total Diagnostix II, LLC | Clinical Medical Laboratory | 3740 Business Dr Ste 101, Memphis, TN 38125-3971 | 2014-02-10 |
1114286523 | Quest Diagnostics Tb LLC | Clinical Medical Laboratory | 5846 Distribution Dr, Memphis, TN 38141-8203 | 2012-05-07 |
1124202668 | Priority Sleep Diagnostic Center LLC | Clinical Medical Laboratory | 3650 Southwind Park Cove, Suite 104, Memphis, TN 38125 | 2007-12-19 |
1144429929 | Concentra Laboratory LLC | Clinical Medical Laboratory | 3560 Air Center Cv, Suite 101, Memphis, TN 38118-3626 | 2007-07-12 |
1548479801 | Mosaic Prime | Clinical Medical Laboratory | 20 Dudley St, Suite 250, Memphis, TN 38103-4904 | 2007-05-22 |
1770622177 | Silicone Ocular | Clinical Medical Laboratory | 6 W Ge Patterson Ave, Suite 101, Memphis, TN 38103-6413 | 2007-02-05 |
1669518221 | Memphis Clinical Laboratory Inc | Clinical Medical Laboratory | 4088 Barton Dr, Memphis, TN 38116-5821 | 2007-01-30 |
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.