MR. CHARLIE ANDREW TACITO (NPI# 1215086731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215086731 |
| Entity Type | Individual |
| Full Name | MR. CHARLIE ANDREW TACITO |
| Practice Address |
1684 Poplar Ave Memphis TN 38104 |
| Mailing Address |
Po Box 77 Marion AR 72364 |
| Practice Telephone | 9012781616 |
| Practice Fax Number | 9012780144 |
| Mailing Telephone | 9012781616 |
| Mailing Fax Number | 9012780144 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
EMS0000010018 | TN | Transportation Services |
| Street Address |
1684 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104 |
| 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 | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417487786 | Firstcare Ambulance Service, LLC | Ambulance | 5155 Wilfong Rd, Memphis, TN 38134-5611 | 2017-06-19 |
| 1083158570 | Shelby County Government | Ambulance | 1075 Mullins Station Rd, Bldg. C, 2nd Floor, Memphis, TN 38134-7730 | 2016-12-19 |
| 1851844633 | Med Transport Memphis, LLC | Ambulance | 1005 Tillman St Ste 213, Memphis, TN 38112-2038 | 2016-07-28 |
| 1174916308 | Forseniorhelp LLC | Ambulance | 6699 Fletcher Creek Cv Ste 101-b, Memphis, TN 38133-7055 | 2015-03-12 |
| 1568852192 | Claybrothers Transportation Services | Ambulance | 1950 Glenover Dr, Memphis, TN 38134-6206 | 2015-02-04 |
| 1578812244 | Medicone Medical Response Delta Region Inc | Ambulance | 5275 Raleigh Lagrange Rd, Memphis, TN 38134-5605 | 2012-09-10 |
| 1104190024 | Healthcare Transport, LLC | Ambulance | 3002 Austin Peay Hwy, Memphis, TN 38128-5602 | 2012-02-24 |
| 1902039589 | First Call Ambulance Service of West Tennessee, LLC | Ambulance | 5603 Federal Ave, Memphis, TN 38118-7918 | 2009-08-28 |
| 1235317843 | Abundant Care Ambulance Service, Inc. | Ambulance | 3590 Winchest Cv, Memphis, TN 38115-8113 | 2008-02-06 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 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.