PATRICIA BURDETTE (NPI# 1366043515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366043515 |
| Entity Type | Individual |
| Full Name | PATRICIA BURDETTE |
| Credential | AGENCY |
| Practice Address |
4955 Gertrude Dr Memphis TN 38125-5753 |
| Practice Telephone | 9015038845 |
| Mailing Telephone | 9015038845 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 374T00000X | Religious Nonmedical Nursing Personnel | Nursing Service Related Providers |
| Street Address |
4955 GERTRUDE DR |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-5753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 374T00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Religious Nonmedical Nursing Personnel |
| Religious nonmedical nursing personnel are experienced in caring for the physical needs of nonmedical patients. For example, caring for the physical needs such as assistance with activities of daily living; assistance with moving, positioning, and ambulation; nutritional needs; and comfort and support measures. |
| Notes: Source: Centers for Medicare & Medicaid Services [7/1/2009: title modified, definition modified] Additional Resources: www.cms.hhs.gov/CertificationandComplianc/19_RNHCIs.asp 2005 Code of Federal Regulations, Title 42, Chapter IV, Part 403, Subpart G, 403.702 Definitions and Terms |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376088286 | Erica Tullison | Religious Nonmedical Nursing Personnel | 7617 Glen Creek Ln, Memphis, TN 38125-4653 | 2017-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144409533 | Sandra Jean Collier | Religious Nonmedical Nursing Personnel | 247 High Cliff Dr, Hendersonville, TN 37075-8748 | 2007-11-01 |
| 1811983554 | Norma Rosado | Religious Nonmedical Nursing Personnel | 5959 Shallowford Rd, Suite 559, Chattanooga, TN 37421-2285 | 2005-09-27 |
| 1457607343 | Typhanee Lynette Fitzgerald | Religious Nonmedical Nursing Personnel | 205 Powell Pl, Brentwood, TN 37027-7522 | 2012-07-27 |
| 1750594925 | Kimberly Sue Bolton | Religious Nonmedical Nursing Personnel | 939 E Emerald Ave, Suite 801, Knoxville, TN 37917-4540 | 2007-05-07 |
| 1013035526 | Diani A Jones | Religious Nonmedical Nursing Personnel | 921 E 3rd St, Chattanooga, TN 37403-2102 | 2007-03-26 |
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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.