Organization Active NPI

My NP Family Health and Wellness Clinic

  • Family Health Clinical Nurse Specialist
  • Memphis, TN
National Provider Identifier
1386954683
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
Legal business name
MY NP FAMILY HEALTH AND WELLNESS CLINIC
Practice address
1061 S Rembert St
Memphis, TN 38104-5651
Phone
(901) 481-5444
NPI assigned
Oct 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Loretta Adair, NP
Title
Medical Director
Phone
(901) 481-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SF0001X Primary

Addresses

Primary practice location

1061 S Rembert St
Memphis, TN 38104-5651

Mailing address

4730 Riverdale Rd
Suite 6
Memphis, TN 38141-8583
Phone (901) 481-5444

National Provider Directory

National Provider Directory

Locations

4730 Riverdale Rd
Ste 6
Memphis, TN 38141
Phone (901) 481-5444

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1386954683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 RIVERDALE RD",
            "address_2": "SUITE 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381418583",
            "telephone_number": "901-481-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 S REMBERT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045651",
            "telephone_number": "901-481-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NP FAMILY HEALTH AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "901-481-5444",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "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 20, 2010; 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.