Active NPI
Edna J Stewart
- Durable Medical Equipment & Medical Supplies
- Memphis, TN
National Provider Identifier
1619007069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 160000608
- Legal business name
- EDNA J STEWART
- Practice address
- 839 Brandywine Blvd
Memphis, TN 38127-2059 - Phone
- (901) 357-0932
- Fax
- (901) 357-0868
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edna J Stewart
- Title
- President
- Phone
- (901) 357-0932
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 160000608 | TN | Primary |
Addresses
Primary practice location
839 Brandywine Blvd
Memphis, TN 38127-2059
Mailing address
839 Brandywine Blvd
Memphis, TN 38127-2059
Phone (901) 357-0932
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4183091 | Other | TN | BLUE CROSS BLUE SHIELD |
| Q023033 | Medicaid | TN |
Other names 1
- French's Medical Supplies
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477440000000",
"number": "1619007069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839 BRANDYWINE BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381272059",
"telephone_number": "901-357-0932",
"fax_number": "901-357-0868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839 BRANDYWINE BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381272059",
"telephone_number": "901-357-0932",
"fax_number": "901-357-0868"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDNA J STEWART",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2016-10-26",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "EDNA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-357-0932"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TN",
"license": "160000608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "4183091",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q023033",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "French's Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.