MRS. TITILOLA TOLULOPE ADEBANJO (NPI# 1730304916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730304916 |
| Entity Type | Individual |
| Full Name | MRS. TITILOLA TOLULOPE ADEBANJO |
| Credential | N.P. |
| Practice Address |
756 Ridge Lake Blvd Suite 228 Memphis TN 38120-9420 |
| Mailing Address |
1020 Center Ridge Rd Collierville TN 38017-9207 |
| Practice Telephone | 9016851994 |
| Practice Fax Number | 9016851997 |
| Mailing Telephone | 9018534146 |
| Mailing Fax Number | 9016851997 |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
APN0000012501 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
756 RIDGE LAKE BLVD SUITE 228 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38120-9420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346216678 | Mary C Peterson | Physical Therapist | 756 Ridge Lake Blvd, Ste 205, Memphis, TN 38120-9445 | 2006-02-27 |
| 1497158588 | Richard Brett Prentiss | Physical Therapist | 756 Ridge Lake Blvd, #205, Memphis, TN 38120-9420 | 2014-10-02 |
| 1932431327 | Marcy C Purnell | Nurse Practitioner | 756 Ridge Lake Blvd, Suite 206, Memphis, TN 38120-9420 | 2010-02-09 |
| 1336380096 | Cathy Lee Richardson | Physical Therapist | 756 Ridge Lake Blvd, Suite 205, Memphis, TN 38120-9420 | 2009-03-10 |
| 1477695948 | Heather Vinicki Couvillion | Physical Therapist | 756 Ridge Lake Blvd, Suite 205, Memphis, TN 38120-9420 | 2007-02-13 |
| 1811041668 | Goodlife Medical Center, Pllc | Internal Medicine | 756 Ridge Lake Blvd, Suite 228, Memphis, TN 38120-9420 | 2007-01-22 |
| 1851482426 | Quality Health Pllc | Internal Medicine | 756 Ridge Lake Blvd, 228, Memphis, TN 38120-9420 | 2006-09-27 |
| 1558468587 | Robert C Mcewan | Family Medicine | 756 Ridge Lake Blvd, Suite 120, Memphis, TN 38120-9420 | 2006-09-20 |
| 1073626578 | Drewry Family Medicine LLC | Family Medicine | 756 Ridge Lake Blvd, Suite 120, Memphis, TN 38120-9420 | 2006-08-17 |
| 1528074440 | Jennifer H Henderson | Occupational Therapist | 756 Ridge Lake Blvd, Suite 205, Memphis, TN 38120-9420 | 2006-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093285637 | Cobblestone Midwifery | Midwife | 5617 Ashley Square South, Memphis, TN 38120 | 2018-11-27 |
| 1649768870 | River City Neuropsychology, Pllc | Psychologist | 1661 International Dr., Suite 400, Memphis, TN 38120 | 2018-04-24 |
| 1841676152 | Jody Lavaun Clements | Dentist | 795 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2015-08-10 |
| 1578957122 | Christina Lumpkin | Nurse Practitioner | 6305 Humphreys Blvd Ste 101, Memphis, TN 38120 | 2015-03-21 |
| 1316352099 | Daniel Poor | Emergency Medicine | Baptist Memorial Hospital Memphis, 124 N. Humphrey's Blvd, Memphis, TN 38120 | 2014-06-21 |
| 1245643246 | Kysha Saleem | Nurse Practitioner | 6027 Walnut Grove Rd., Suite 312, Memphis, TN 38120 | 2014-06-06 |
| 1376962613 | John Christopher Swearingen | Dentist | 780 Ridge Lake Blvd Ste 101, Memphis, TN 38120 | 2014-04-15 |
| 1275884645 | Rebecca Leigh Goedecke | Nurse Practitioner | 6215 Humphreys Blvd Ste 301, Memphis, TN 38120 | 2012-09-26 |
| 1730475179 | Sarah Elizabeth Hammond | Surgery | Plastic Surgery Group, 80 Humphreys Blvd #100, Memphis, TN 38120 | 2011-06-23 |
| 1922302785 | Daniel L Hester | Nurse Anesthetist, Certified Registered | 1755 Kirby Parkway Suite 330, Memphis, TN 38120 | 2011-01-07 |
| Find all providers in zip 38120 | ||||
| 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 |
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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.