Active NPI
Raymond S Signore, RNFA
- Registered Nurse First Assistant
- Memphis, TN
National Provider Identifier
1760601884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 110900
- Practice address
- 6027 Walnut Grove Road
Suite 203
Memphis, TN 38120 - Phone
- (901) 761-9155
- Fax
- (901) 683-3915
- NPI assigned
- Apr 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | RN0000110900 | TN | |
| Registered Nurse First Assistant | 163WR0006X | 110900 | TN | Primary |
Addresses
Primary practice location
6027 Walnut Grove Road
Suite 203
Memphis, TN 38120
Mailing address
PO Box 405827
Atlanta, GA 30384-5827
Phone (901) 227-4068
Other names 1
- R. Samuel Signore
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 |
|---|---|---|---|
| 110900 | TN | MD | Registered Nurse First Assistant |
| RN0000110900 | TN | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369353600000",
"number": "1760601884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405827",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845827",
"telephone_number": "901-227-4068",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6027 WALNUT GROVE ROAD",
"address_2": "SUITE 203",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-761-9155",
"fax_number": "901-683-3915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIGNORE",
"first_name": "RAYMOND",
"middle_name": "S",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-25",
"last_updated": "2013-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TN",
"license": "RN0000110900",
"primary": false
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "TN",
"license": "110900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "R.",
"last_name": "SIGNORE",
"middle_name": "SAMUEL",
"credential": "RNFA",
"code": "5",
"type": "Other Name"
}
]
}
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 May 24, 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.