Individual provider Active NPI

Lashon Clatrice Stuckey, PROSTHETICSPECIALIST

  • Prosthetics Case Management
  • Memphis, TN
National Provider Identifier
1649897760
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
115848 Issued in TN
Practice address
2760 N Germantown Pkwy
Memphis, TN 38133-8153
Phone
(901) 512-0929
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 115848 TN Primary

Addresses

Primary practice location

2760 N Germantown Pkwy
Memphis, TN 38133-8153

Mailing address

2123 Deer Ridge Dr Apt 4
Memphis, TN 38134-8905
Phone (901) 801-0976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115848TNMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1649897760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 DEER RIDGE DR APT 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381348905",
            "telephone_number": "901-801-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 N GERMANTOWN PKWY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381338153",
            "telephone_number": "901-512-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEY",
        "first_name": "LASHON",
        "middle_name": "CLATRICE",
        "credential": "PROSTHETICSPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TN",
            "license": "115848",
            "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 Jul 6, 2020; 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.