Organization Active NPI

Elite Screening and Wellness

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1629752456
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.