Organization Active NPI

Felicia T Dillon

  • Durable Medical Equipment & Medical Supplies
  • Memphis, TN
National Provider Identifier
1295770964
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FELICIA T DILLON
Practice address
2552 Poplar Ave
Ste 4L
Memphis, TN 38112-3852
Phone
(901) 458-5010
Fax
(901) 324-0738
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Authorized official

Name
Ms. Felicia Tashawn Dillon
Title
President
Phone
(901) 458-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2552 Poplar Ave
Ste 4L
Memphis, TN 38112-3852

Mailing address

2552 Poplar Ave
Ste 4L
Memphis, TN 38112-3852
Phone (901) 458-5010

Other identifiers 1

IdentifierTypeStateIssuer
1454994MedicaidTN

National Provider Directory

National Provider Directory

Locations

2552 Poplar Ave
Ste 4L
Memphis, TN 38112
Phone (901) 458-5010

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1295770964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "STE 4L",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-458-5010",
            "fax_number": "901-324-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2552 POPLAR AVE",
            "address_2": "STE 4L",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381123852",
            "telephone_number": "901-458-5010",
            "fax_number": "901-324-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICIA T DILLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "TASHAWN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-458-5010",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454994",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.