The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1063833622 |
NPI Entity Type | Individual |
Provider Name | REV Faith Fraser |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 5390 Loch Lomond Rd, Memphis, TN, US |
Provider Mailing Address | 5390 Loch Lomond Rd, Memphis, TN, US, 381169049 |
Is Sole Proprietor? | Yes |
Taxonomy Code | |
Taxonomy Name | Home Health Agency |
Classification | |
Group | |
Description | A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
206040 | WI | STATE CERTIFICATION | 01 |
00145595 | TN | STATE CERTIFICATION | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
MRS. RN Emily Rae Johnson Individual |
315 Hospital Dr |
||
PHARMD Rebecca Brittany Clegg Individual |
1430 S Roan St |
||
Christopher Byrd Individual |
4221 Maynardville Hwy |
||
MD Shalacia Palmer Leblanc Individual |
3400 Lebanon Rd |
||
DR. DNP, CRNA Mark Timothy Cresap Individual |
7357 Lucky Clover Ln |
||
Khumalo Foot And Ankle Clinic, Inc Organization |
1109 E Reelfoot Ave Ste D |
||
CCC-SLP Azjah Watson Individual |
70 Timber Creek Dr |
||
MS. DNP Ala'a Mitoubsi Individual |
1926 Alcoa Hwy |
||
NEMT Olivia Williams Individual |
8097 Waterford Cir Apt 204 |
||
Megan Nichole Trujillo Individual |
2740 Saint Andrews Dr |
||
M.D. David D. Buckman Individual |
2320 Wilma Rudolph Blvd. |
||
Ashley Myers Individual |
1211 Medical Center Dr |
||
Jessica Gomez Individual |
1727 N Germantown Pkwy Ste 107 |
||
Park Center Organization |
1935 21st Ave S |
||
DR. M.D. Melissa Lynn Mckittrick Individual |
3400 Lebanon Rd |
||
FNP-BC Misty Renee Nichols Individual |
2216 Rainbow Ln |
||
MD Douglas Todd Cannon Individual |
8000 Centerview Pkwy Suite 500 |
||
Dovamed Medical Organization |
545 Mainstream Dr Ste 102 |
||
Taylor Woods Individual |
6019 Walnut Grove Rd |
||
MRS. PA-C Brittany C Smith Individual |
1265 Union Ave |
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