Teneka Renea Brodnax

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

I000000028682

Practice address

5728 Stage Rd Ste 5
Bartlett, TN 38134-4568

Phone

(901) 590-3832

NPI assigned

Jun 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Clarity Homehealth

  • In Home Supportive Care Agency
  • Bartlett, TN
  • NPI 1669131801
  NPD Authorized official
• Lynex Respite and Homecare Services

  • Home Health Agency
  • Bartlett, TN
  • NPI 1417786468
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1558939769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5728 STAGE RD STE 5",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344568",
            "telephone_number": "901-590-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5728 STAGE RD STE 5",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344568",
            "telephone_number": "901-590-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODNAX",
        "first_name": "TENEKA",
        "middle_name": "RENEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "TN",
            "license": "I000000028682",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": "I000000028682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "L000000028682",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Graceful Living LLC
• Antwanae Briars, MA
• Stacey Briggs
• Brink & White Pediatric Dental Associates, PLLC
• Joshua Aaron Brink Sr., DDS
• Cathy Elaine Brown
• Cynthia S Brown
• Kimberly Michelle Brown, MD
• Lawrence Martinez Brown
• Tajuana Denise Brown

• Adult Companion in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Adult Companion in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.