COMMUNITY TRANSITION NURSE CARE MANAGER, LLC (NPI# 1659752103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659752103 |
| Entity Type | Organization |
| Organization Name | COMMUNITY TRANSITION NURSE CARE MANAGER, LLC |
| Other Organization Name | SHEPHARD PRIMARY CARE |
| Practice Address |
1251 Wesley Dr Ste 104 Memphis TN 38116-6442 |
| Mailing Address |
4405 Timber Jump Memphis TN 38141-7395 |
| Practice Telephone | 9014408807 |
| Practice Fax Number | 9013104907 |
| Mailing Telephone | 9015501486 |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | ADDIE MARCHANT (OWNER/CEO) |
| Authorized Official Telephone | 9015501486 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 163WC0400X |
Registered Nurse Specialization: Case Management |
Nursing Service Providers | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | 1000000016 | TN | Agencies |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q013486 | 05 |
| Other Name | Type Code |
|---|---|
| Shephard Primary Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4405 Timber Jump, Memphis, TN 381417395 | 9015501486 |
| Street Address |
1251 WESLEY DR STE 104 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669000840 | Tekeyla Warfield | Nurse Practitioner | 2980 Poplar Ave, Memphis, TN 38111-3527 | 2020-04-01 |
| 1275009037 | Lashaunda Rogers | Nurse Practitioner | 1264 Wesley Dr Ste 501, Memphis, TN 38116-6456 | 2018-10-19 |
| 1699170019 | Kimberly Nicole Vann | Nurse Practitioner | 1669 Shelby Oaks Dr N Ste 106, Memphis, TN 38134-7441 | 2014-10-28 |
| 1770716078 | Christen D Greenfield | Nurse Practitioner | 3145 Players Club Pkwy, Memphis, TN 38125-8835 | 2009-09-02 |
| 1902802556 | Jacquelyn Delois Kimball | Nurse Practitioner | 1056 E Raines Rd, Memphis, TN 38116-6337 | 2005-06-27 |
| 1013525187 | Kershaw Primary Care and Weight Loss | Nurse Practitioner | 6005 Park Ave, Memphis, TN 38119-5202 | 2020-07-15 |
| 1912418302 | Linda Marie Jones | Nurse Practitioner | 2400 Poplar Ave, Memphis, TN 38112-3213 | 2017-10-12 |
| 1053846154 | Christina Wallace | Nurse Practitioner | 262 N Danny Thomas Blvd, Memphis, TN 38105-2822 | 2017-04-26 |
| 1194183137 | Gwendolyn Mathis | Nurse Practitioner | 2220 Union Ave, Memphis, TN 38104 | 2016-02-05 |
| 1841684636 | Mia Mccoy | Nurse Practitioner | 848 Adams Ave, Memphis, TN 38103-2816 | 2015-03-19 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on COMMUNITY TRANSITION NURSE CARE MANAGER, LLC.
| 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.