MRS. ANGELA LATRICE BURNETT-MARTIN (NPI# 1871765891) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871765891 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA LATRICE BURNETT-MARTIN |
| Credential | FNP |
| Practice Address |
4041 Knight Arnold Rd Memphis TN 38118-2128 |
| Practice Telephone | 9012591920 |
| Mailing Telephone | 9012591920 |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2012-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN0000013365 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4041 KNIGHT ARNOLD RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38118-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932277019 | Robert L. Baldwin | Psychiatry & Neurology | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2006-11-30 |
| 1841825940 | Ruthie Otulana | Social Worker | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2020-03-09 |
| 1285002634 | Tri State Community Health Center | Clinic/Center | 4041 Knight Arnold Rd, Suite 100, Memphis, TN 38118-2128 | 2015-09-02 |
| 1861791774 | Michael Okuneye | Registered Nurse | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2011-03-17 |
| 1528367505 | Olufunke T Odetunde | Registered Nurse | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2011-03-16 |
| 1003115056 | Kenneth M Harshman | Registered Nurse | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2011-03-16 |
| 1154599744 | Raques Woodard | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2008-02-15 |
| 1760664676 | Brittany A. Weed | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-12-03 |
| 1871775775 | Daria F Ellis | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-12-03 |
| 1528240439 | Terrence A Ryans | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295719 | Dmc Memphis, LLC | Clinic/Center | 3000 Getwell Road, Memphis, TN 38118 | 2020-04-29 |
| 1053958736 | Randy Johnson | Technician | 3221 Gina Drive, Memphis, TN 38118 | 2019-12-02 |
| 1215415823 | Life Partners Home Care Agency, LLC | In Home Supportive Care | 2879 Knightway Road, Memphis, TN 38118 | 2018-08-06 |
| 1326589318 | Latasha Rachell Martin | Nurse Practitioner | 3960 Knight Arnold Rd, Suite 205, Memphis, TN 38118 | 2017-03-10 |
| 1770957375 | Teresa Hughes | Social Worker | 3180 Winchester Road, Memphis, TN 38118 | 2015-11-19 |
| 1891170437 | Bensons Express Pharmacy | Health Maintenance Organization | 3081 South Perkins Rd, Memphis, TN 38118 | 2015-07-24 |
| 1083044226 | Kimberly Winters Griffin | Nurse's Aide | 4100 Tarry Park Apt1, Memphis, TN 38118 | 2013-11-26 |
| 1508017211 | Amy Renee Rike | Counselor | 3960 Knight Arnold Rd. Suite 300, Delta Medical Center - Outpatient Psychiatric Services, Memphis, TN 38118 | 2008-10-01 |
| 1396996047 | Carol Lynn Harriss | Registered Nurse | 2620thousand Oaks Blvd, Suite 2400, Memphis, TN 38118 | 2008-09-30 |
| 1295994671 | Vcphcs I, LLC | Clinic/Center | 4539 Winchester Road, Suite 111, Memphis, TN 38118 | 2008-06-02 |
| Find all providers in zip 38118 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787193 | Nancy Katherine Ray | Nurse Practitioner | 4576 Poplar Ave, Memphis, TN 38117-7502 | 2020-10-16 |
| 1245837533 | Sandra Dee Garrison | Nurse Practitioner | 335 Lillian Dr, Memphis, TN 38109-4431 | 2020-10-08 |
| 1972119527 | Oneka E Poindexter | Nurse Practitioner | 86 N Rembert St, Memphis, TN 38104-2766 | 2020-09-18 |
| 1295346260 | Jimarie Nelson | Nurse Practitioner | 5100 Poplar Ave Ste 2007, Memphis, TN 38137-2007 | 2020-08-13 |
| 1346869187 | Tollaria Williams | Nurse Practitioner | 3797 Old Waverly Cv Apt 201, Memphis, TN 38125-2678 | 2020-04-12 |
| 1497388912 | Michelle Denise Jones | Nurse Practitioner | 493 Doctor M.l.k. Jr Ave, Memphis, TN 38126-3812 | 2020-02-13 |
| 1336781657 | J Wilson Health LLC | Nurse Practitioner | 5100 Poplar Ave, Fl 27 Ste 2719a, Memphis, TN 38137-2701 | 2019-10-09 |
| 1265081574 | Natalie Staten | Nurse Practitioner | 7651 Shelby Forest Cv, Memphis, TN 38125-2822 | 2019-09-09 |
| 1881247740 | Mekeilah Nevaun Johnson | Nurse Practitioner | 6005 Park Ave Ste 825b, Memphis, TN 38119-5223 | 2019-07-19 |
| 1205488087 | Wendy Powell | Nurse Practitioner | 1407 Union Ave Ste 405, Memphis, TN 38104-3627 | 2019-07-12 |
| 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.