Organization Active NPI

Letchworth Elder Care LLC

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1376965210
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
12181 Issued in TN
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

Updated by the provider on Oct 16, 2014

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.