MS. PATRICE MICHELLE OWENS-JOHNSON (NPI# 1639209810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639209810 |
| Entity Type | Individual |
| Full Name | MS. PATRICE MICHELLE OWENS-JOHNSON |
| Credential | FNP |
| Practice Address |
969 Frayser Blvd Memphis TN 38127-5977 |
| Mailing Address |
2595 Central Ave Memphis TN 38104-5905 |
| Practice Telephone | 9017012540 |
| Practice Fax Number | 9012608449 |
| Mailing Telephone | 9012608500 |
| Mailing Fax Number | 9012608598 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2015-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 91982 | TN | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 12814 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3341226 | 05 |
| Street Address |
969 FRAYSER BLVD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38127-5977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149558 | Richard A Nelson | Emergency Medicine | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2005-07-29 |
| 1881223733 | Candace Crane | Nurse Practitioner | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2020-04-03 |
| 1124679691 | Tiffany Denise Ables | Dietitian, Registered | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2019-09-25 |
| 1083068233 | Bethany Lazear | Pharmacist | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2016-04-13 |
| 1932567641 | Monique Rene' Trice | Dentist | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2016-02-09 |
| 1700277233 | Alicia Barber | Nurse Practitioner | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2015-02-05 |
| 1356749915 | Christ Community Health Services Inc | Pharmacy | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2014-12-15 |
| 1891115945 | Brian Kenneth Wong | Internal Medicine | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2014-04-16 |
| 1740546191 | Lindsay Green | Family Medicine | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2012-04-10 |
| 1053572206 | Christ Community Health Services Inc | Clinic/Center | 969 Frayser Blvd, Memphis, TN 38127-5977 | 2008-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639660103 | Jennifer Green | Occupational Therapist | 4209 Mtn.terrace, Memphis, TN 38127 | 2018-05-21 |
| 1891060570 | Phylantyniese Lashunda Stone | Non-emergency Medical Transport (VAN) | 2790 N. Watkins, Memphis, TN 38127 | 2012-03-14 |
| 1982916326 | Linda Faye Johnson | Pharmacist | 2655 Frayser Blvd., Memphis, TN 38127 | 2010-07-13 |
| 1215171046 | M.g. Services, LLC | Home Health | 3065 Thomas St., Memphis, TN 38127 | 2009-04-23 |
| 1639325665 | Dishman House | Assisted Living Facility | 3958 Cornell St., Memphis, TN 38127 | 2008-08-11 |
| 1467621334 | Cet of Memphis, LLC | Community/Behavioral Health | 2470 Capewood Dr, Memphis, TN 38127 | 2008-02-26 |
| 1912074030 | Medic Transportation, LLC. | Ambulance | 3180 Millington Rd., Memphis, TN 38127 | 2006-11-30 |
| 1609974450 | Walgreen Co. | Pharmacy | 3100 Thomas St., Memphis, TN 38127 | 2006-09-20 |
| 1871541177 | Clarice Weathers Mullinax | Family Medicine | 3124 North Thomas Street, Christ Community Health Services Inc, Memphis, TN 38127 | 2006-05-05 |
| 1295251619 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2670 Frayser Blvd, Memphis, TN 38127 | 2017-08-17 |
| Find all providers in zip 38127 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204038 | Ann Clare Guest | Nurse Practitioner | 1483 Goodbar Ave, Memphis, TN 38104-4912 | 2020-10-28 |
| 1154936946 | Allyson Escott Dormois | Nurse Practitioner | 130 Flicker St, Memphis, TN 38104-5928 | 2020-09-09 |
| 1831702224 | Tennessee In-home Partner-iv, LLC | Nurse Practitioner | Sumner Medical Plaza, 300 Steam Plant Road, Suite 220, Memphis, TN 37066-3032 | 2020-08-26 |
| 1881160059 | Christopher Paul Hernandez | Nurse Practitioner | 877 Jeffeon Ave, Memphis, TN 38103 | 2018-10-15 |
| 1326544800 | Kimberly Vestoria Mcclinton | Nurse Practitioner | 2200 Union Ave 1, Memphis, TN 38104 | 2018-04-03 |
| 1780199786 | Shkendie Papraniku | Nurse Practitioner | 6005 Park Ave Ste 510, Memphis, TN 38119-5215 | 2017-12-12 |
| 1063926079 | Megan Lee Alexander | Nurse Practitioner | 877 Jefferson Ave Fl 2, Memphis, TN 38103-2807 | 2017-11-29 |
| 1427568260 | Miranda D White | Nurse Practitioner | 6027 Walnut Grove Rd Ste 114, Memphis, TN 38120-2115 | 2017-10-06 |
| 1184098956 | Mika Tralayne Jackson | Nurse Practitioner | 4075 S Lakewood Dr, Memphis, TN 38128-4401 | 2015-11-17 |
| 1184009649 | Linda Fay Williams | Nurse Practitioner | 3655 Haughton Lane #2, Memphis, TN 38128 | 2015-07-27 |
| 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.