Active NPI
Well Child of Mississippi LLC
- Clinic/Center
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WELL CHILD OF MISSISSIPPI LLC
- Practice address
- 1785 Nonconnah Blvd Ste 120
Memphis, TN 38132-2112 - Phone
- (901) 728-5858
- Fax
- (901) 274-5858
- NPI assigned
- Jun 27, 2012
- Last updated
- Aug 25, 2014
- Organization subpart
- Yes
- Parent organization
- WCI MANAGEMENT SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen J Pease, APN
- Title
- Ceo
- Phone
- (901) 728-5858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13712 | TN | |
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
1785 Nonconnah Blvd Ste 120
Memphis, TN 38132-2112
Mailing address
1785 Nonconnah Blvd Ste 120
Memphis, TN 38132-2112
Phone (901) 728-5858
National Provider Directory
National Provider Directory- Tax ID family
- Well Child
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Physician
- Memphis, TN
- NPI 1407124076
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Memphis, TN
- NPI 1619013638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408924800000",
"number": "1508120387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1785 NONCONNAH BLVD STE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322112",
"telephone_number": "901-728-5858",
"fax_number": "901-274-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1785 NONCONNAH BLVD STE 120",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381322112",
"telephone_number": "901-728-5858",
"fax_number": "901-274-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELL CHILD OF MISSISSIPPI LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WCI MANAGEMENT SERVICES LLC",
"enumeration_date": "2012-06-27",
"last_updated": "2014-08-25",
"status": "A",
"authorized_official_last_name": "PEASE",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-728-5858",
"authorized_official_credential": "APN"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "13712",
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"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 Aug 25, 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.