MS. ALICE HANNIFIN (NPI# 1548681430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548681430 |
Entity Type | Individual |
Full Name | MS. ALICE HANNIFIN |
Credential | NP-C |
Practice Address |
2569 Douglass Ave Memphis TN 38114-2532 |
Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
Practice Telephone | 9017012550 |
Mailing Telephone | 9012608500 |
Mailing Fax Number | 9012608598 |
Enumeration Date | 2013-12-19 |
Last Update Date | 2016-03-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17991 | TN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | Q003427 | 05 |
Street Address |
2569 DOUGLASS AVE |
City | MEMPHIS |
State | TN |
Zip Code | 38114-2532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750391116 | Angie Jean Childers | Family Medicine | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2006-08-09 |
1538778014 | Britney Richardson Thomas | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2020-07-30 |
1801439229 | Cynthia L James | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2019-10-18 |
1093280661 | Bailey Marie Monarch | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2018-10-09 |
1649631573 | John Epting | Family Medicine | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2016-03-20 |
1659761609 | Kelly N Scott | Nurse Practitioner | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2015-01-29 |
1558797613 | Christ Community Health Services Inc | Pharmacy | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2013-09-20 |
1427395888 | Ernest Witherspoon | Pharmacist | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2013-01-04 |
1225320047 | Zechary Craig Smith | Family Medicine | 2569 Douglass Ave, Memphis, TN 38114-2532 | 2011-05-12 |
1407017650 | Christ Community Health Services Inc | Clinic/Center | 2569 Douglass Ave, Christ Community Health Services, Inc, Memphis, TN 38114-2532 | 2008-06-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871131037 | Cassandra Jean Cowans | Technician | 3106 Harris Ave, Memphis, TN 38114 | 2019-12-18 |
1750871406 | Alexander Scott LLC | Non-emergency Medical Transport (VAN) | 2150 Dunn Ave, Memphis, TN 38114 | 2018-05-17 |
1336416718 | Emmanuel Medical Services LLC | Ambulance | 2510 Lamar Ave., Memphis, TN 38114 | 2011-11-29 |
1487893517 | Erika B Carroll | Registered Nurse | 2569 Douglass Avenue, Christ Community Health Services Inc, Memphis, TN 38114 | 2009-02-12 |
1023256393 | Hickory Hill Dental Care | Dentist | 1952 Lamar Avenue, Memphis, TN 38114 | 2009-01-26 |
1619076676 | Toya Pinkston Dawson | Dentist | 2348 Park Avenue, Memphis, TN 38114 | 2006-09-22 |
1912009077 | Temple of Blessings Deliverance Outreach Ministries Inc. | Non-emergency Medical Transport (VAN) | 1557 David Street, Memphis, TN 38114 | 2006-09-01 |
1811015266 | Charles L Lewis | Optometrist | 1399 Airways Blvd, Suite 1, Memphis, TN 38114 | 2007-03-26 |
1760440648 | Beverly J Williams-cleaves | Internal Medicine | 2829 Lamar Ave, Memphis, TN 38114 | 2006-05-02 |
1265564454 | Joshua's House Center | Counselor | 1656 Lamar Ave, Memphis, TN 38114-1642 | 2007-03-12 |
Find all providers in zip 38114 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
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.