NPIMap

Organization Active NPI

Customized Medical Needs

  • Point of Service
  • Memphis, TN
National Provider Identifier
1679994198
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
6151932 Issued in TN
Legal business name
CUSTOMIZED MEDICAL NEEDS
Practice address
8295 Tournament Dr
Ste 2
Memphis, TN 38125-8906
Phone
(866) 563-7772
Fax
(901) 255-0758
NPI assigned
Dec 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Christi Alexander-Davidson
Title
Executive Director
Phone
(866) 563-7772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 6151932 TN Primary

Addresses

Primary practice location

8295 Tournament Dr
Ste 2
Memphis, TN 38125-8906

Mailing address

8295 Tournamemt Dr
Ste 150
Memphis, TN 38125-8900
Phone (866) 563-7772

National Provider Directory

National Provider Directory
Tax ID family
Customized Medical Needs2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8295 Tournament Dr
Ste 2
Memphis, TN 38125
Phone (866) 563-7772

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1679994198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8295 TOURNAMEMT DR",
            "address_2": "STE 150",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258900",
            "telephone_number": "866-563-7772",
            "fax_number": "901-255-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8295 TOURNAMENT DR",
            "address_2": "STE 2",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381258906",
            "telephone_number": "866-563-7772",
            "fax_number": "901-255-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED MEDICAL NEEDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER-DAVIDSON",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "866-563-7772"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TN",
            "license": "6151932",
            "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 Dec 31, 2013; 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.