Shirley Spiller-Johnson, ADMINISTRATOR/OPERAT

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

0000000565 Issued in TN

Practice address

2051 Montreat Dr
Memphis, TN 38134-6613

Phone

(901) 598-7437

Fax

(901) 388-7366

NPI assigned

Dec 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1740678960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 MONTREAT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346613",
            "telephone_number": "901-598-7437",
            "fax_number": "901-388-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 MONTREAT DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381346613",
            "telephone_number": "901-598-7437",
            "fax_number": "901-388-7366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILLER-JOHNSON",
        "first_name": "SHIRLEY",
        "credential": "ADMINISTRATOR/OPERAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "0000000565",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "TN",
            "license": "0000000565",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445488",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Spickler
• Angelina W Spiegel, CRNA
• Chase B Spiegel, MSW, CMSW, LMSW
• Kathleen Delaney Spiers, MD
• Kendric Lequan Spikes
• Frances Bethany Spiller, PHD
• Spine Cin of West Tennessee LLC
• Spine Specality Center PLLC
• Melontina Roshelle Spiney
• Vicki A. Spinosa, CMSW

• Licensed Practical Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.