Well Child Inc.

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

10556 Issued in TN

Legal business name

WELL CHILD INC.

Practice address

2158 Union Ave Ste 100
Memphis, TN 38104-4297

Phone

(901) 728-5858

Fax

(901) 274-5858

NPI assigned

Jul 31, 2007

Last updated

Jul 31, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

WELL CHILD INC.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mallory I Wilbon

Title

Nurse Practioner

Phone

(901) 728-5858

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Well Child

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mallory J. Wilbon, APRN-FNP

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1669666442
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1073703591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2158 UNION AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044297",
            "telephone_number": "901-728-5858",
            "fax_number": "901-274-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 UNION AVE STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044297",
            "telephone_number": "901-728-5858",
            "fax_number": "901-274-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL CHILD INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELL CHILD INC.",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "WILBON",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "NURSE PRACTIONER",
        "authorized_official_telephone_number": "901-728-5858",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "TN",
            "license": "10556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Todd Weiss, M.D.
• Orli M Weisser-Pike, OTD, OTR/L
• Susan Kay Welch, MD
• Well Child
• Well Child
• Well Child Inc.
• Well Child of Georgia, PLLC
• Well Child of Mississippi (Well Child)
• Well Child of Mississippi LLC
• Well Child School Health Services

• Pediatric Skilled Nursing Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Skilled Nursing Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.