Active NPI
Elite Screening and Wellness
- Family Nurse Practitioner
- Memphis, TN
National Provider Identifier
1629752456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ELITE SCREENING AND WELLNESS
- Practice address
- 6166 E Shelby Dr
Memphis, TN 38141-7701 - Phone
- (901) 236-7619
- Fax
- (901) 310-4658
- NPI assigned
- Jun 12, 2023
- Last updated
- Jun 12, 2023
- 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
- Denise L Peeples, NP
- Title
- Nurse Practitioner
- Phone
- (901) 237-7619
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
6166 E Shelby Dr
Memphis, TN 38141-7701
Mailing address
6166 E Shelby Dr
Memphis, TN 38141-7701
Phone (901) 236-7619
National Provider Directory
National Provider DirectoryLocations
6166 E Shelby Dr
Memphis, TN 38141
Phone (901) 236-7619
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1629752456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6166 E SHELBY DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381417701",
"telephone_number": "901-236-7619",
"fax_number": "901-310-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6166 E SHELBY DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381417701",
"telephone_number": "901-236-7619",
"fax_number": "901-310-4658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE SCREENING AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A",
"authorized_official_last_name": "PEEPLES",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "901-237-7619",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"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 Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.