MEMPHIS VAMC (NPI# 1326436452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326436452 |
Entity Type | Organization |
Organization Name | MEMPHIS VAMC |
Other Organization Name | UNION AVENUE VA OOS |
Practice Address |
1407 Union Ave 11th Floor Memphis TN 38104-3627 |
Mailing Address |
Po Box 94511 Cleveland OH 44101 |
Practice Telephone | 6153553451 |
Mailing Telephone | 6153553451 |
Enumeration Date | 2014-12-23 |
Last Update Date | 2017-09-13 |
Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
Authorized Official Telephone | 2023822579 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
UNION AVENUE VA OOS | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649401316 | Memphis Vamc | Clinic/Center | 125 Quarles Ln, West Helena, AR 72390-1923 | 2009-07-29 |
1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
1073552436 | Memphis Vamc | Clinic/Center | 1114 Commonwealth Blvd., Tupelo, MS 38804-9998 | 2006-06-04 |
1619923398 | Memphis Vamc | Clinic/Center | 2908 S Caraway Rd Ste B, Jonesboro, AR 72401-7306 | 2006-05-25 |
1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
1194778357 | Memphis Vamc | Clinic/Center | 1700 Crescent Meadows, Holly Springs, MS 38635-7414 | 2006-05-18 |
1154374726 | Memphis Vamc | Clinic/Center | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-05-17 |
1659667996 | Memphis Vamc | Military Hospital | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2011-06-24 |
1356572010 | Memphis Vamc | Clinic/Center | 1067 Vendall Rd, Dyersburg, TN 38024-1622 | 2009-07-29 |
1134370885 | Memphis Vamc | Clinic/Center | 154 Mt. Pleasant Road, Mount Pleasant, MS 38635-9332 | 2008-09-30 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | MEMPHIS VAMC | 1030 Jefferson Ave, Memphis, TN 38104-2127 |
Street Address |
1407 UNION AVE 11TH FLOOR |
City | MEMPHIS |
State | TN |
Zip Code | 38104-3627 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
1841659232 | Omni Community Health | Clinic/Center | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-02-15 |
1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
1336441419 | Shane W. Coughlin | Emergency Medicine | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2010-11-23 |
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 | 261QV0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | VA |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154374726 | Memphis Vamc | Clinic/Center | 3461 Austin Peay Hwy, Memphis, TN 38128-3801 | 2006-05-17 |
1801033964 | Yan Cao | Clinic/Center | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2009-01-12 |
1023236577 | Department of Veterans Affairs | Clinic/Center | 1030 Jefferson Ave, Memphis, TN 38104-2127 | 2007-04-22 |
1861405797 | Elsheikh Ahmed Kineish | Clinic/Center | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2006-08-14 |
1003859588 | Memphis Vamc | Clinic/Center | 1689 Nonconnah Blvd, Memphis, TN 38132-2105 | 2006-06-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922544394 | Mountain Home Vamc | Clinic/Center | 1521 Downtown West Blvd, Knoxville, TN 37919-5407 | 2017-01-10 |
1073060133 | Nashville Vamc | Clinic/Center | 2 International Plaza Drive, Suite 300, Nashville, TN 37217-2011 | 2016-09-07 |
1962958256 | Nashville Vamc | Clinic/Center | 1208 Pointe Centre Drive, Chattanooga, TN 37421-3989 | 2016-08-28 |
1750779898 | Nashville Vamc | Clinic/Center | 1919 Charlotte Avenue, Suite 100, Nashville, TN 37203-2219 | 2014-12-23 |
1316267743 | Nashville Vamc | Clinic/Center | 2305 N Gateway Ave, Suite 2, Harriman, TN 37748-8665 | 2010-06-08 |
1205072436 | Memphis Vamc | Clinic/Center | 180 Old Hickory Blvd, Suite A, Jackson, TN 38305-2562 | 2008-12-17 |
1639342231 | Mountain Home Vamc | Clinic/Center | 925 E Morris Blvd, Morristown, TN 37813-2499 | 2008-04-04 |
1326082546 | Nashville Vamc | Clinic/Center | 225 Von Karman Road, Arnold Air Force Base, TN 37389-9998 | 2006-06-16 |
1700824646 | Mountain Home Vamc | Clinic/Center | 401 Scenic Dr, Rogersville, TN 37857-2452 | 2006-06-03 |
1669427050 | Memphis Vamc | Clinic/Center | 70 Harbert Dr, Savannah, TN 38372-2333 | 2006-05-23 |
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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.