FNP Catherine Talbot Lackie, NPI 1629309463
Family Nurse Practitioner in Memphis, TN, US
NPI number: what is it?
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 | 1629309463 |
| NPI Entity Type | Individual |
| Provider Name | FNP Catherine Talbot Lackie |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 6286 Briarcrest Ave Ste 200, Memphis, TN, US |
| Provider Mailing Address | 6077 Primacy Pkwy Ste 140, Memphis, TN, US, 381195742 |
| Gender | Female |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Family Nurse Practitioner |
| Classification | |
| Group | |
| License No. | 14930 |
| License State | TN |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 168742 | TN | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 3371161 | TN | MEDICAID | 05 |
| 4306810 | TN | BCBS TN | 01 |
| 620819926 | MS | BCBS MS | 01 |
| 620819926 | TN | AETNA | 01 |
| 7187860 | MS | MEDICAID | 05 |
| 110318002 | AR | MEDICAID | 05 |
| 9337653 | TN | AETNA | 01 |
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|---|---|---|---|
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DR. M.D. Melissa Lynn Mckittrick Individual |
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FNP-BC Misty Renee Nichols Individual |
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MD Douglas Todd Cannon Individual |
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Dovamed Medical Organization |
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Taylor Woods Individual |
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MRS. PA-C Brittany C Smith Individual |
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