NPIMap

Organization Active NPI

Shirley Ann Spiller-Johnson

  • Adult Care Home Facility
  • Memphis, TN
National Provider Identifier
1437468295
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
00000565 Issued in TN
Legal business name
SHIRLEY ANN SPILLER-JOHNSON
Practice address
2051 Montreat Dr
Memphis, TN 38134-6613
Phone
(901) 388-6903
Fax
(901) 388-7366
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
Ms. Shirley Ann Spiller-Johnson, LPN
Title
Administrator
Phone
(901) 388-6903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 00000565 TN Primary

Addresses

Primary practice location

2051 Montreat Dr
Memphis, TN 38134-6613

Mailing address

2051 Montreat Dr
Memphis, TN 38134-6613
Phone (901) 388-6903

National Provider Directory

National Provider Directory
Tax ID family
Prestige Care Home3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1437468295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MONTREAT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346613",
            "telephone_number": "901-388-6903",
            "fax_number": "901-388-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MONTREAT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346613",
            "telephone_number": "901-388-6903",
            "fax_number": "901-388-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY ANN SPILLER-JOHNSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "SPILLER-JOHNSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-388-6903",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "TN",
            "license": "00000565",
            "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 Nov 18, 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.