NPIMap

Organization Active NPI

Healthy Choices of TN

  • Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1316096720
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN0000113659 Issued in TN
Legal business name
HEALTHY CHOICES OF TN
Practice address
5100 Poplar Ave
Suite 2700
Memphis, TN 38137-4000
Phone
(901) 454-1967
Fax
(901) 322-6083
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Randy E Presley, FNPNPI 1982762332
Title
Owner
Phone
(901) 454-1967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN0000113659 TN Primary

Addresses

Primary practice location

5100 Poplar Ave
Suite 2700
Memphis, TN 38137-4000

Mailing address

5100 Poplar Ave
Suite 2700
Memphis, TN 38137-4000
Phone (901) 454-1967

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316096720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE",
            "address_2": "SUITE 2700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "901-454-1967",
            "fax_number": "901-322-6083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE",
            "address_2": "SUITE 2700",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381374000",
            "telephone_number": "901-454-1967",
            "fax_number": "901-322-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY CHOICES OF TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-454-1967",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "RN0000113659",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.