Active NPI
Nicholas Drzyzga
- Homemaker
- Memphis, TN
National Provider Identifier
1760727093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- 1000000012005
- Practice address
- 1331 Union Ave Ste 1016
Memphis, TN 38104-3513 - Phone
- (901) 490-2809
- NPI assigned
- Nov 27, 2012
- Last updated
- Nov 27, 2012
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | 1000000012005 | TN | |
| Homemaker | 376J00000X | 1000000012005 | TN | Primary |
Addresses
Primary practice location
1331 Union Ave Ste 1016
Memphis, TN 38104-3513
Mailing address
1331 Union Ave Ste 1016
Memphis, TN 38104-3513
Phone (901) 490-2809
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 |
|---|---|---|---|
| 1000000012005 | TN | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353974400000",
"number": "1760727093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 UNION AVE STE 1016",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043513",
"telephone_number": "901-490-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 UNION AVE STE 1016",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043513",
"telephone_number": "901-490-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRZYZGA",
"first_name": "NICHOLAS",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-27",
"last_updated": "2012-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "TN",
"license": "1000000012005",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "TN",
"license": "1000000012005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Patrick Shawn Drummond, APRN
- Carolyn D Drumwright, FNP
- Stephen Dryden, MD
- Elizabeth Lauren Dryer
- Courtney Lynn Drzyzga, DPT
- DS Health & Performance PLLC
- Dsi Galleria LLC (U.S. Renal Care Galleria Dialysis)
- Dsi Memphis LLC (U.S. Renal Care Southwest Whitehaven Dialysis)
- Amita Jane Dsouza, MD
- DTB Transportation LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.