OMNI COMMUNITY HEALTH (NPI# 1841659232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841659232 |
| Entity Type | Organization |
| Organization Name | OMNI COMMUNITY HEALTH |
| Practice Address |
1407 Union Ave Suite 100 Memphis TN 38104-3627 |
| Mailing Address |
7124 Farmhouse Dr Memphis TN 38125-4504 |
| Practice Telephone | 6157263603 |
| Mailing Telephone | 6016164275 |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |
| Authorized Official Name | MITZIE JENKINS (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Telephone | 6016164275 |
| Authorized Official Credential | DNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
20825 | TN | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316573199 | Omni Community Health | Clinic/Center | 740 Conference Drive, Suite 101, Goodlettsville, TN 37072-2084 | 2020-03-12 |
| 1033572227 | Omni Community Health | Community/Behavioral Health | 4709 Papermill Drive, Suite 101, Knoxville, TN 37909-1928 | 2016-04-04 |
| 1770924284 | Omni Community Health | Clinic/Center | 545 Brandies Circle, Murfreesboro, TN 37128 | 2013-07-12 |
| 1134373970 | Omni Community Health | Case Management | 103 Weakley Creek Road, Suite B, Lawrenceburg, TN 38464-2237 | 2008-11-06 |
| 1730238155 | Omni Community Health | Social Worker | 1420 W. Baddour Parkway, Suite 240, Lebanon, TN 37087-1510 | 2007-01-09 |
| 1881743805 | Omni Community Health | Psychologist | 665 South Jefferson Ave, Cookeville, TN 38501-4011 | 2007-01-09 |
| 1437125416 | Omni Community Health | Psychologist | 145 Thompson Lane, Nashville, TN 37211-2411 | 2006-02-28 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1912306382 | Omni Community Health | Clinic/Center | 145 Thompson Lane, Nashville, TN 37211-2411 | 2014-08-21 |
| 1184870578 | Omni Community Health | Community/Behavioral Health | 2001 Mallory Lane, Suite 300-b, Franklin, TN 37067-8236 | 2008-08-18 |
| Street Address |
1407 UNION AVE SUITE 100 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38104-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460998 | Michael C Mcconnell | Nurse Anesthetist, Certified Registered | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2006-05-01 |
| 1649779760 | Kristen Davenport Locke | Nurse Practitioner | 1407 Union Ave, Memphis, TN 38104-3627 | 2018-02-04 |
| 1346769866 | Memphis Health & Wellness | Nurse Practitioner | 1407 Union Ave, Suite 107, Memphis, TN 38104 | 2017-09-15 |
| 1306206529 | Victoria Traylor | Counselor | 1407 Union Ave, Suite 100, Memphis, TN 38104-3627 | 2016-03-01 |
| 1316320880 | Omni Community Health | Community/Behavioral Health | 1407 Union Ave, Suite 815, Memphis, TN 38104-3679 | 2015-07-02 |
| 1326436452 | Memphis Vamc | Clinic/Center | 1407 Union Ave, 11th Floor, Memphis, TN 38104-3627 | 2014-12-23 |
| 1962839324 | Heather L Gammel | Psychologist | 1407 Union Ave, Memphis, TN 38104-3627 | 2013-10-01 |
| 1235482522 | Allison Thornell West | General Acute Care Hospital | 1407 Union Ave, Memphis, TN 38104-3627 | 2012-10-24 |
| 1700185089 | Sanjaya Kumar Satapathy | Internal Medicine | 1407 Union Ave, Suite 640, Memphis, TN 38104-3627 | 2011-03-25 |
| 1336441419 | Shane W. Coughlin | Emergency Medicine | 1407 Union Ave, Suite 200, Memphis, TN 38104-3600 | 2010-11-23 |
| Find all providers in the same location | ||||
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801437785 | Open Door Treatment Center Inc | Clinic/Center | 3622 Merritt St, Memphis, TN 38128-3734 | 2019-10-02 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1144734518 | Nina Serman Counseling, LLC | Clinic/Center | 5587 Murray Ave Ste 203, Memphis, TN 38119-0894 | 2017-11-21 |
| 1477999480 | Vcphcs Viii, LLC | Clinic/Center | 1734 Madison Ave, Memphis, TN 38104-6414 | 2013-05-16 |
| 1538505649 | Vcphcs Xxi, LLC | Clinic/Center | 2165 Spicer Cv Ste 5, Memphis, TN 38134-5623 | 2013-05-15 |
| 1649529769 | La Paloma Treatment Center, LLC | Clinic/Center | 1083 W Rex Rd, Ste 203, Memphis, TN 38119-3825 | 2012-09-05 |
| 1689674368 | La Paloma Treatment Center, LLC | Clinic/Center | 2009 Lamar Avenue, Memphis, TN 38114-2138 | 2005-07-26 |
| 1336754050 | Life Renew Counseling | Clinic/Center | 2924 Walnut Grove Rd, Memphis, TN 38111-2719 | 2020-09-10 |
| 1437613189 | K. Janee' Lpc-mhsp, LLC | Clinic/Center | 5909 Shelby Oaks Dr Ste 117, Memphis, TN 38134-7318 | 2019-01-28 |
| 1053829598 | Mind Renewals Inc | Clinic/Center | 1005 Tillman St Ste 217, Memphis, TN 38112-2038 | 2018-01-18 |
| 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.