Organization Active NPI

My NP Family Health and Wellness Clinic

  • Health Service Clinic/Center
  • Memphis, TN
National Provider Identifier
1568766855
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
05991 Issued in TN
Legal business name
MY NP FAMILY HEALTH AND WELLNESS CLINIC
Practice address
4730 Riverdale Rd
Suite 6
Memphis, TN 38141-8583
Phone
(901) 481-5444
NPI assigned
Dec 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Authorized official

Name
Ms. Loretta Adair, FNP
Title
President
Phone
(901) 481-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 05991 TN Primary

Addresses

Primary practice location

4730 Riverdale Rd
Suite 6
Memphis, TN 38141-8583

Mailing address

4730 Riverdale Rd
Suite 6
Memphis, TN 38141-8583
Phone (901) 481-5444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1293753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293753600000",
    "number": "1568766855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 RIVERDALE RD",
            "address_2": "SUITE 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381418583",
            "telephone_number": "901-481-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 RIVERDALE RD",
            "address_2": "SUITE 6",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381418583",
            "telephone_number": "901-481-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NP FAMILY HEALTH AND WELLNESS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-31",
        "last_updated": "2010-12-31",
        "status": "A",
        "authorized_official_last_name": "ADAIR",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-481-5444",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "05991",
            "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 Dec 31, 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.