Shot Nurse-Memphis, P.C.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SHOT NURSE-MEMPHIS, P.C.

Doing business as

The Shot Nurse

Practice address

7596 W Farmington Blvd
Germantown, TN 38138-2809

Phone

(901) 685-9999

Fax

(901) 767-8388

NPI assigned

Jul 23, 2014

Last updated

Jul 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Overall, RN

Title

Vice-President

Phone

(901) 685-9999

Specialties & licenses 2

Addresses

Other names 1

• The Shot Nurse Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Shot Nurse-Memphis PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Shot Nurse-Memphis, P.C.

  dba The Shot Nurse

  • Community Health Clinic/Center
  • Cordova, TN
  • NPI 1275941106
  NPD tax ID
• Shot Nurse-Memphis, P.C.

  • Community Health Clinic/Center
  • Memphis, TN
  • NPI 1659524148
  NPD tax ID

Locations

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.

• Joseph Eugene Holley Jr., MD

  • General Practice Physician
  • Knoxville, TN
  • NPI 1952342586
  NPD (past)

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1134537061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174419",
            "telephone_number": "901-685-9999",
            "fax_number": "901-767-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7596 W FARMINGTON BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381382809",
            "telephone_number": "901-685-9999",
            "fax_number": "901-767-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOT NURSE-MEMPHIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "OVERALL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "901-685-9999",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shot Nurse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Brooke Shires, MD
• Uzma Khanum Shirwany
• Elizabeth Shmikler, PHD
• David Shoop, PHARM.D.
• Laura Thornton Shores, M.A., CCC-SLP
• Andrew Meyer Shum, O.D.
• Leon Shum, DO
• Steven R. Shum, O.D.
• Pamela Patteson Shumake, LCSW
• William R. Shurley III, M.D.

• Health Service Clinic/Center in Germantown, TN
• Providers in Germantown, 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 Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.