JENNIFER BROOKE PRUDHOMME-GRABER (NPI# 1558982553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558982553 |
| Entity Type | Individual |
| Full Name | JENNIFER BROOKE PRUDHOMME-GRABER |
| Credential | CPM-TN |
| Practice Address |
1203 Poplar Ave Memphis TN 38104-7278 |
| Mailing Address |
144 N Bellevue Blvd Memphis TN 38104-7201 |
| Practice Telephone | 9012743550 |
| Practice Fax Number | 9012743551 |
| Mailing Telephone | 9012743550 |
| Mailing Fax Number | 9012743551 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 176B00000X | Midwife | 96 | TN | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 144 N Bellevue Blvd, Memphis, TN 381047201 | 9012743550 | 9012743551 |
| Street Address |
1203 POPLAR AVE |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-7278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427370600 | Memphis Center for Reproductive Health | Clinic/Center | 1203 Poplar Ave, Memphis, TN 38104-7241 | 2010-02-16 |
| 1801117049 | Gregory Motley | Counselor | 1203 Poplar Ave, Suite #5, Memphis, TN 38104-7278 | 2010-06-22 |
| 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 | 176B00000X |
| Grouping | Other Service Providers |
| Classification | Midwife |
| A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization. |
| Notes: Source: The National Uniform Claim Committee [7/1/2007: title changed, definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1689714222 | Amy Stewart-banbury | Midwife | 2610 Autumn Ave, Memphis, TN 38112-2739 | 2007-02-06 |
| 1578907465 | Melissa Leigh Padgett | Midwife | 1000 S Cooper St, Memphis, TN 38104-5611 | 2013-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639789654 | Wendy Gail Owens | Midwife | 136 Greenmeadow Ln, Jonesborough, TN 37659-3814 | 2020-08-04 |
| 1821617440 | Kayla Sampson | Midwife | 801 Concord Crossing Ln, Knoxville, TN 37934-5106 | 2020-04-14 |
| 1376170795 | Mary Britt Leo | Midwife | 5331 Mount View Rd # 104, Antioch, TN 37013-2308 | 2020-03-25 |
| 1548891559 | Sara Rosser | Midwife | 2341 Santa Fe Pike, Santa Fe, TN 38482-3326 | 2020-01-29 |
| 1720644701 | Chelsea Hutton | Midwife | 504 Greystone Pl, Smyrna, TN 37167-8200 | 2019-05-14 |
| 1710449434 | Sarah Amelia Cowan | Midwife | 77 County House Cir, Carthage, TN 37030-2919 | 2019-04-02 |
| 1689135949 | Anessa Dickerson | Midwife | 999 Lola Whitten Rd, Selmer, TN 38375-5350 | 2019-03-28 |
| 1386104214 | Shirley Beth Clemence | Midwife | 2707 Stuart St, Burns, TN 37029 | 2019-03-25 |
| 1386103182 | Paige Devon Carroll | Midwife | 1415 Harmony Rd, Knoxville, TN 37912-5449 | 2019-03-19 |
| 1407321862 | Erin Yvonne Padilla | Midwife | 1416 Sumner Ave, Nashville, TN 37206-2534 | 2018-10-11 |
| Find all providers with the same taxonomy | ||||
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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.