Vintearia Cauthen
Individual provider Active NPI Driver · Memphis, TN
NPI 1104220649 · NPPES record last updated Oct 14, 2014
Key facts
- NPI
- 1104220649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 3430 Hallbrook St
Memphis, TN 38127-5626 - Phone
- (901) 258-9702
- NPI assigned
- Oct 13, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
3430 Hallbrook St
Memphis, TN 38127-5626
Mailing address
6949 Amberly Village Dr
Cordova, TN 38018-5619
Phone (901) 258-9702
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.