Shots and More Wellness Clinic, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SHOTS AND MORE WELLNESS CLINIC, LLC

Practice address

890 W Poplar Ave Ste 6
Collierville, TN 38017-2582

Phone

(901) 752-5444

Fax

(901) 752-5424

NPI assigned

Feb 22, 2019

Organization subpart

No

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

Authorized official

Name

Allyson Signaigo

Title

Manager

Phone

(901) 752-5444

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1124585401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W POPLAR AVE STE 6",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172582",
            "telephone_number": "901-752-5444",
            "fax_number": "901-752-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W POPLAR AVE STE 6",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172582",
            "telephone_number": "901-752-5444",
            "fax_number": "901-752-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOTS AND MORE WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "SIGNAIGO",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-752-5444"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Benton Selecman, DDS
• Erfan Shahidi
• Loretta Lambert Shamley, APN-BC, FNP
• Erin Lancaster Shaul, FNP-C
• Logan Timothy Shemwell, DC
• Karen Lemar Siegfried, ATC/L
• Lorelei Tara Sims, ATC, LAT
• Sisters Dependable Care Inc
• Nicholas Slavens, DC
• Sleep Source Tennessee

• Health Service Clinic/Center in Collierville, TN
• Providers in Collierville, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.