Individual provider Active NPI

Colbie Andrews

  • Social Worker
  • Memphis, TN
National Provider Identifier
1396463931
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
534 N 2ND St
Memphis, TN 38105-1632
Phone
(901) 448-1956
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

534 N 2ND St
Memphis, TN 38105-1632

Mailing address

1953 Peabody Ave Rear Rear
Memphis, TN 38104-4085
Phone (901) 574-2183

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address candre21@uthsc.edu

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Ut Medical Group, Inc. PastSince Aug 28, 2022 Accepting new patients

Locations

534 N 2nd St
Memphis, TN 38105
Phone (901) 448-1956

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1396463931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 PEABODY AVE REAR REAR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044085",
            "telephone_number": "901-574-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 N 2ND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381051632",
            "telephone_number": "901-448-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "COLBIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "candre21@uthsc.edu",
            "affiliation": "N",
            "address_1": "534 N 2nd St",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381051632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 19, 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.

Verify at the official NPI Registry.