Active NPI
Toriella Jackson, CPRS
- Peer Specialist
- Memphis, TN
National Provider Identifier
1356864565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 000-689
- Practice address
- 135 N Cleveland St
Memphis, TN 38104-2002 - Phone
- (901) 725-9005
- NPI assigned
- Jul 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 000-689 | TN | Primary |
Addresses
Primary practice location
135 N Cleveland St
Memphis, TN 38104-2002
Mailing address
135 North Cleveland
Memphis, TN 38104
Phone (901) 725-9005
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 |
|---|---|---|---|
| 000-689 | TN | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356864565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 NORTH CLEVELAND",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38104",
"telephone_number": "19017259005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 N CLEVELAND ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381042002",
"telephone_number": "901-725-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "TORIELLA",
"credential": "CPRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "TN",
"license": "000-689",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.