BONTAYA CALVIN (NPI# 1982215778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982215778 |
| Entity Type | Individual |
| Full Name | BONTAYA CALVIN |
| Other Name | BONTAYA CALVIN |
| Credential | CERTIFIED HAIRLOSS |
| Practice Address |
4305 Harvest Hill Rd Memphis TN 38141-6933 |
| Practice Telephone | 9012369256 |
| Mailing Telephone | 9016522908 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
157804 | TN | Other Service Providers |
| N | 224P00000X | Prosthetist | 157804 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4305 HARVEST HILL RD |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38141-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245845148 | Hopeful Strands LLC | Prosthetic/Orthotic Supplier | 5852 Sunny Morning Dr, Memphis, TN 38141 | 2020-09-09 |
| 1285107581 | Monique Bonita Robinson | Counselor | 5004 Pheasant Run Ln, Memphis, TN 38141 | 2019-01-09 |
| 1366979098 | Cross Medical Primary Care | Family Medicine | 6222 E. Shelby Drive, Memphis, TN 38141 | 2017-05-12 |
| 1619403870 | Cross Medical Primary Care | Family Medicine | 6222 East Shelby Drive, Memphis, TN 38141 | 2017-05-10 |
| 1326464330 | Tammy Hulbert | Day Training/Habilitation Specialist | 5416 Gardendale St., Memphis, TN 38141 | 2014-03-14 |
| 1083912836 | Best Care LLC | In Home Supportive Care | 6945 Waters Bend Cove, Memphis, TN 38141 | 2011-03-03 |
| 1114239845 | New Image Life Coaches & Associates | Health Educator | 4334 Snow Mass Lane, Memphis, TN 38141 | 2010-07-10 |
| 1235278607 | Markesha L Woods | Counselor | 123 Please Contact, Memphis, TN 38141 | 2007-02-05 |
| 1083141717 | Cross Medical Primary Care | Clinic/Center | 6222 E. Shelby Drive, Memphis, TN 38141 | 2017-05-12 |
| 1104218312 | Ashley Byrd | Nurse Practitioner | 6222 E Shelby Dr, Memphis, TN 38141 | 2015-02-25 |
| Find all providers in zip 38141 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336767375 | Lakesha Polk | Specialist | 3584 Forrest Ave, Memphis, TN 38122-5123 | 2020-07-07 |
| 1275007262 | Brianna Monique Davison | Specialist | 2725 S Mendenhall Rd Ste 3, Memphis, TN 38115-1530 | 2019-01-14 |
| 1609343862 | Tania N Combs-starks | Specialist | 3147 Frayser Raleigh Rd, Memphis, TN 38128-2716 | 2018-10-25 |
| 1770069684 | Justin Jermaine Green | Specialist | 4412 Elvis Presley Blvd, Memphis, TN 38116-6408 | 2018-07-13 |
| 1336645316 | Cheree Nicole Brown | Specialist | 1391 Elvis Presley Blvd, Memphis, TN 38106 | 2018-03-30 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1972016590 | Stacy Jehan Owens | Specialist | 7505 Us Highway 64 Ste 105, Memphis, TN 38133-8939 | 2017-11-06 |
| 1558800623 | Roshotta Beane | Specialist | 375 N Highland St Apt 2, Memphis, TN 38122-4513 | 2017-02-22 |
| 1588108252 | Stephania Jones | Specialist | 7505 Us Highway 64, Suite 105, Memphis, TN 38133-8947 | 2016-12-14 |
| 1336503721 | Ursula Logan | Specialist | 3564 Hickory Hill Rd, Memphis, TN 38115-3827 | 2016-04-12 |
| Find all providers in MEMPHIS | ||||
Please comment or provide details below to improve the information on BONTAYA CALVIN.
| 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.