Active NPI
Letchworth Elder Care LLC
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1376965210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 12181
- Legal business name
- LETCHWORTH ELDER CARE LLC
- Practice address
- 3030 Walnut Grove Rd
Memphis, TN 38111-3508 - Phone
- (901) 413-9426
- NPI assigned
- Jan 13, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony R Letchworth, NP
- Title
- Sole Owner
- Phone
- (901) 413-9426
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 12181 | TN | Primary |
Addresses
Primary practice location
3030 Walnut Grove Rd
Memphis, TN 38111-3508
Mailing address
PO Box 381105
Germantown, TN 38183-1105
Phone (901) 413-9426
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413417600000",
"number": "1376965210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 381105",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381831105",
"telephone_number": "901-413-9426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381113508",
"telephone_number": "901-413-9426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LETCHWORTH ELDER CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-13",
"last_updated": "2014-10-16",
"status": "A",
"authorized_official_last_name": "LETCHWORTH",
"authorized_official_first_name": "TONY",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "901-413-9426",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "12181",
"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 Oct 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.