NPIMap

Organization Active NPI

Nurtured Healing Space

  • Clinical Social Worker
  • Memphis, TN
National Provider Identifier
1760254833
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NURTURED HEALING SPACE
Practice address
7220 Deventer CV
Memphis, TN 38133-4955
Phone
(931) 299-0577
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Shelby Shaw, LCSWNPI 1124801691
Title
Owner
Phone
(931) 299-0577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7220 Deventer CV
Memphis, TN 38133-4955

Mailing address

7220 Deventer CV
Memphis, TN 38133-4955
Phone (931) 299-0577

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1760254833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 DEVENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334955",
            "telephone_number": "931-299-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 DEVENTER CV",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334955",
            "telephone_number": "931-299-0577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURED HEALING SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-299-0577",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 23, 2023; 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.