Active NPI
Vogelfanger and Struble Clinic, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Memphis, TN
National Provider Identifier
1497121990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 20245
- Legal business name
- VOGELFANGER AND STRUBLE CLINIC, PLLC
- Practice address
- 6005 Park Ave
Unit 630B
Memphis, TN 38119-5202 - Phone
- (901) 767-1136
- NPI assigned
- Aug 19, 2015
- 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
- Dr. David Struble, M.D.
- Title
- Partner
- Phone
- (901) 767-1136
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20245 | TN | Primary |
Addresses
Primary practice location
6005 Park Ave
Unit 630B
Memphis, TN 38119-5202
Mailing address
6005 Park Ave
Unit 630B
Memphis, TN 38119-5202
Phone (901) 767-1136
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Registered Nurse
- Memphis, TN
- NPI 1033581764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439942400000",
"number": "1497121990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 PARK AVE",
"address_2": "UNIT 630B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195202",
"telephone_number": "901-767-1136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVE",
"address_2": "UNIT 630B",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195202",
"telephone_number": "901-767-1136"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VOGELFANGER AND STRUBLE CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-19",
"last_updated": "2015-08-19",
"status": "A",
"authorized_official_last_name": "STRUBLE",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "901-767-1136",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TN",
"license": "20245",
"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 Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.