GLORIA J PEGUES (NPI# 1861932162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861932162 |
| Entity Type | Individual |
| Full Name | GLORIA J PEGUES |
| Other Name | GLORIA J SHIPP/TISDELL |
| Practice Address |
7117 Millers Glen Way Memphis TN 38125-4179 |
| Practice Telephone | 9018312423 |
| Mailing Telephone | 9018312423 |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2017-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | P316596 | MS | Nursing Service Providers |
| Street Address |
7117 MILLERS GLEN WAY |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38125-4179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144798448 | Ronald Penn Jr. | Day Training, Developmentally Disabled Services | 4751 Harvest Park Dr., Memphis, TN 38125 | 2018-11-05 |
| 1417458944 | Crestwyn Health Group, LLC | Psychiatry & Neurology | 9485 Crestwyn Hills Cv, Memphis, TN 38125 | 2018-02-21 |
| 1982121323 | Ruthie Rayford | Non-emergency Medical Transport (VAN) | 7244 Grande Bay Cove, Memphis, TN 38125 | 2017-08-25 |
| 1952769119 | Crestwyn Health Group, LLC | Psychiatric Hospital | 9485 Crestwyn Hills Cove, Memphis, TN 38125 | 2016-02-03 |
| 1033590500 | Katherine Brown | Optometrist | 7706 Winchester Road, Suite 105, Memphis, TN 38125 | 2015-06-10 |
| 1073856514 | Quaneshia R Farris | Nurse Practitioner | 7685 Winchester Rd Ste 100, Memphis, TN 38125 | 2013-04-03 |
| 1225379811 | Americare At Southbreeze Assisted Living, LLC | Assisted Living Facility | 3168 Hacks Road Cross, Memphis, TN 38125 | 2013-03-07 |
| 1780934281 | Freds Stores of Tennessee Inc | Pharmacy | 7143 Winchester Rd, Memphis, TN 38125 | 2012-09-12 |
| 1174893598 | Andi Marie Anderson | Nurse Anesthetist, Certified Registered | 3340 Players Club Parkway, Suite 350, Memphis, TN 38125 | 2012-01-02 |
| 1285938266 | Melita Robbins | Behavioral Analyst | 8922 E. Trophy Way, Ste 202, Memphis, TN 38125 | 2011-01-05 |
| Find all providers in zip 38125 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989521 | April Nicole Milam | Licensed Practical Nurse | 600 Jefferson Ave Ste 350, Memphis, TN 38105-4900 | 2020-10-14 |
| 1902410855 | Jessica Adams | Licensed Practical Nurse | 1496 Dardon Ave, Memphis, TN 38116-8410 | 2020-09-08 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1053736710 | Cris Sandridge | Licensed Practical Nurse | 2295 Hubbard Ave, Memphis, TN 38108-2347 | 2014-03-04 |
| 1114349313 | Mckinley Willingham | Licensed Practical Nurse | 6821 Raleigh Lagrange Rd, Memphis, TN 38134-7031 | 2014-01-08 |
| 1902248552 | Pamela Rene Merriweather | Licensed Practical Nurse | 3041 Getwell Rd Ste 101, Memphis, TN 38118-3737 | 2013-07-24 |
| 1497982367 | Jessie James Dwyer | Licensed Practical Nurse | 1120 Morgan Rd, Memphis, NY 13112-8717 | 2009-06-17 |
| 1831346584 | Deyae Stewart | Licensed Practical Nurse | 4555 Cognac Cv, Memphis, TN 38141-7803 | 2008-08-25 |
| 1396918033 | Amy Lynne Miller | Licensed Practical Nurse | 5856 Fowler Rd, Memphis, NY 13112-8784 | 2008-04-02 |
| 1396913323 | Linda Harris | Licensed Practical Nurse | 7548 Easterly Ln, Memphis, TN 38125-4315 | 2008-02-12 |
| 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.