Active NPI
Triphine Shaw
- Assisted Living Facility
- Memphis, TN
National Provider Identifier
1649909425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 1000000030815
- Practice address
- 6993 Cross Timber LN
Memphis, TN 38125-2617 - Phone
- (901) 305-6541
- NPI assigned
- Jun 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 1000000030815 | TN | Primary |
Addresses
Primary practice location
6993 Cross Timber LN
Memphis, TN 38125-2617
Mailing address
560 Winding Valley LN
Collierville, TN 38017-4064
Phone (901) 409-5093
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1000000030815 | TN | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Place 4 Friends LLC | Assisted Living Facility | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1649909425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 WINDING VALLEY LN",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380174064",
"telephone_number": "901-409-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6993 CROSS TIMBER LN",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381252617",
"telephone_number": "901-305-6541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "TRIPHINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-07",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "TN",
"license": "1000000030815",
"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 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.