Active NPI
Tanya Sheneta Oliver, RN
- Medical-Surgical Registered Nurse
- Memphis, TN
National Provider Identifier
1548842016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 868787
- Practice address
- 4172 Egypt Central Rd
Memphis, TN 38128 - Phone
- (901) 857-7092
- NPI assigned
- Apr 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Continence Care Registered Nurse | 163WC2100X | 868787 | MS | |
| Peritoneal Dialysis Registered Nurse | 163WD1100X | 868787 | MS | |
| Enterostomal Therapy Registered Nurse | 163WE0900X | 868787 | MS | |
| Gastroenterology Registered Nurse | 163WG0100X | 868787 | MS | |
| Gerontology Registered Nurse | 163WG0600X | 868787 | MS | |
| Hospice Registered Nurse | 163WH1000X | 868787 | MS | |
| Infusion Therapy Registered Nurse | 163WI0500X | 868787 | MS | |
| Infection Control Registered Nurse | 163WI0600X | 868787 | MS | |
| Nutrition Support Registered Nurse | 163WN1003X | 868787 | MS | |
| Nephrology Registered Nurse | 163WN0300X | 868787 | MS | |
| Pain Management Registered Nurse | 163WP0000X | 868787 | MS | |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 868787 | MS | |
| Urology Registered Nurse | 163WU0100X | 868787 | MS | |
| Wound Care Registered Nurse | 163WW0000X | 868787 | MS | |
| Medical-Surgical Registered Nurse | 163WM0705X | 868787 | MS | Primary |
Addresses
Primary practice location
4172 Egypt Central Rd
Memphis, TN 38128
Mailing address
4847 Navy Rd
Unit 1584
Millington, TN 38083
Phone (901) 857-7092
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 868787 | MS | MD | Pain Management Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619222400000",
"number": "1548842016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4847 NAVY RD",
"address_2": "UNIT 1584",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38083",
"telephone_number": "901-857-7092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4172 EGYPT CENTRAL RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38128",
"telephone_number": "901-857-7092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "TANYA",
"middle_name": "SHENETA",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-24",
"last_updated": "2021-04-24",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WC2100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Continence Care",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WD1100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Dialysis, Peritoneal",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WE0900X",
"taxonomy_group": "",
"desc": "Registered Nurse, Enterostomal Therapy",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WG0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gastroenterology",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WI0500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infusion Therapy",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WI0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Infection Control",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WN1003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nutrition Support",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WP0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pain Management",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WU0100X",
"taxonomy_group": "",
"desc": "Registered Nurse, Urology",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WW0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Wound Care",
"state": "MS",
"license": "868787",
"primary": false
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MS",
"license": "868787",
"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 Apr 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.