Promise Academy, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PROMISE ACADEMY, INC

Practice address

1346 Bryan St
Memphis, TN 38108-2401

Phone

(901) 728-5858

Fax

(901) 531-6310

NPI assigned

Dec 26, 2018

Organization subpart

No

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

Authorized official

Name

Pamela Winfrey

Title

Credentialing Manager

Phone

(901) 728-5858

Specialties & licenses 1

Addresses

Other names 1

• PROMISE ACADEMY HOLLYWOOD Doing business as

Locations

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

{
    "created_epoch": "1545782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1578035911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NEW YORK ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381045536",
            "telephone_number": "901-728-5858",
            "fax_number": "901-531-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 BRYAN ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381082401",
            "telephone_number": "901-728-5858",
            "fax_number": "901-531-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-26",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "WINFREY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "901-728-5858"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMISE ACADEMY HOLLYWOOD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Progressive Wound Care PLLC
• Prohealth Chiropractic LLC
• Lynnette K Prokop, PA
• Prominent Mobile Labs LLC
• Promise Academy Spring Hill, Inc
• Promise Cares Inc
• Promise Land Enterprise LLC
• Prompt Transportation
• Adeline Prophete, DDS
• Amelia Prophete, MD

• Speech-Language Pathologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.