Active NPI
Katisha Fields
- Counselor
- Cordova, TN
National Provider Identifier
1255640157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 092234118
- Practice address
- 1155 Cully Rd
Cordova, TN 38018-8502 - Phone
- (901) 624-2454
- NPI assigned
- Sep 27, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 092234118 | TN | Primary |
Addresses
Primary practice location
1155 Cully Rd
Cordova, TN 38018-8502
Mailing address
1155 Cully Rd
Cordova, TN 38018-8502
Phone (901) 870-2650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 092234118 | TN | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285545600000",
"number": "1255640157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 CULLY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188502",
"telephone_number": "901-870-2650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 CULLY RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380188502",
"telephone_number": "901-624-2454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELDS",
"first_name": "KATISHA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-27",
"last_updated": "2010-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TN",
"license": "092234118",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.