VETRANS ADMINISTRATION (NPI# 1134146103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134146103 |
| Entity Type | Organization |
| Organization Name | VETRANS ADMINISTRATION |
| Practice Address |
1030 Jefferson Ave Memphis TN 38104-2127 |
| Mailing Address |
1035 Boones Hollow Dr Cordova TN 38018-5889 |
| Practice Telephone | 9015238990 |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID GRAY (PTA) |
| Authorized Official Telephone | 9015238990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205024387 | Vetrans Administration | General Acute Care Hospital | 6215 Ne Broadway St, Portland, OR 97213-4713 | 2007-10-14 |
| Street Address |
1030 JEFFERSON AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982697025 | Katherine Denton Sanford | Optometrist | 1030 Jefferson Ave, Mail Code 112d, Memphis, TN 38104-2127 | 2005-08-24 |
| 1528667938 | Mckenzie Bahl | Recreation Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-10-19 |
| 1427656834 | Phillip David Resuggan | Music Therapist | 1030 Jefferson Ave, Memphis, TN 38104-2193 | 2020-10-16 |
| 1962009159 | Rachel Diann Roberts | Nurse Anesthetist, Certified Registered | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-10-01 |
| 1225643018 | Melanie Warren | Nurse Practitioner | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-09-09 |
| 1942828892 | Brady Cole | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-07-08 |
| 1457978595 | Mariko Thel | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-07-05 |
| 1215554910 | Weston Paul Keen | Pharmacy | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-29 |
| 1225655236 | Rebecca Fong | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-26 |
| 1225653660 | Brandy Hollums | Pharmacist | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2020-06-11 |
| Find all providers in the same location | ||||
| 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 Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033345541 | University of Tennessee | Special Hospital | 60 Harbor Town Sq, Memphis, TN 38103-8850 | 2009-06-10 |
| 1447797741 | Sophia Runer Folk | Special Hospital | 262 Danny Thomas Pl, Memphis, TN 38105 | 2017-01-24 |
| 1821432212 | St Jude Children's Research Hospital | Special Hospital | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2013-04-29 |
| 1861743239 | St. Jude Childrens Research Hospital | Special Hospital | 262 Danny Thomas Place, St. Jude Childrens Research Hospital, Memphis, TN 38105 | 2012-09-26 |
| 1801158753 | St Jude Children's Research Hospital | Special Hospital | 262 Danny Thomas Pl, Memphis, TN 38105-3678 | 2012-06-15 |
| 1053544072 | Sofia Muzzafar | Special Hospital | 262 Danny Thomas Pl, (ms-220), Memphis, TN 38105-3678 | 2009-08-25 |
| 1790718914 | Department of Veterans Affairs | Special Hospital | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528502234 | Deanne Fanta | Special Hospital | 6393 Lee Hwy, Chattanooga, TN 37421-2569 | 2016-12-14 |
| 1124499959 | Maria Elena Ramantanin | Special Hospital | 2132 Amnicola Hwy, Chattanooga, TN 37406 | 2015-10-20 |
| 1134518228 | Donelson Animal Hospital, LLC | Special Hospital | 2518 Lebanon Pike, Nashville, TN 37214-2415 | 2015-01-13 |
| 1780087783 | Stephanie S Habre | Special Hospital | 3100 West End Ave., Suite 800, Nashville, TN 37203 | 2014-10-03 |
| 1336119627 | Baptist Women's Health Center LLC | Special Hospital | 2011 Murphy Ave Ste 400, Nashville, TN 37203-2065 | 2006-01-26 |
| 1083975536 | Bearden Pediatric Dentistry Pllc | Special Hospital | 601 Concord St, Suite 102-104, Knoxville, TN 37919-3307 | 2012-05-31 |
| 1356515662 | Knoxville Obgyn Consultants, PC | Special Hospital | 501 19th St, Ste 602, Knoxville, TN 37916-1854 | 2008-04-17 |
| 1447394143 | Select Specialty Hospital-tri Cities | Special Hospital | 1 Medical Park Blvd, Suite 256, Bristol, TN 37620-7430 | 2007-02-16 |
| 1528033404 | Tennessee Valley Health Care9(tvhs) | Special Hospital | 1310 24th Ave S, Nashville, TN 37212-2637 | 2006-02-22 |
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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.