Individual provider Active NPI

Angela Carroll Childs, BS, RPSGT, RST, CCSH

  • Other Specialist/Technologist
  • Memphis, TN
National Provider Identifier
1669018859
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
433 Issued in TN
Practice address
5050 Poplar Ave Ste 300
Memphis, TN 38157-0300
Phone
(901) 820-3444
Fax
(901) 937-3345
NPI assigned
Nov 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X 433 TN Primary

Addresses

Primary practice location

5050 Poplar Ave Ste 300
Memphis, TN 38157-0300

Mailing address

2215 Orr Rd
Arlington, TN 38002-4332
Phone (901) 867-7001

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
433TNMDOther Specialist/Technologist

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1669018859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 ORR RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024332",
            "telephone_number": "901-867-7001",
            "fax_number": "901-867-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 POPLAR AVE STE 300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381570300",
            "telephone_number": "901-820-3444",
            "fax_number": "901-937-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ANGELA",
        "middle_name": "CARROLL",
        "credential": "BS, RPSGT, RST, CCSH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "TN",
            "license": "433",
            "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 Nov 21, 2019; 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.