Organization Active NPI

901 Health & Wellness Clinic PLLC

  • Primary Care Clinic/Center
  • Memphis, TN
National Provider Identifier
1780172932
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
901 HEALTH & WELLNESS CLINIC PLLC
Practice address
364 S Front St
Memphis, TN 38103-4114
Phone
(901) 827-8091
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Pollyann Scholze, FNP
Title
President
Phone
(901) 827-8091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

364 S Front St
Memphis, TN 38103-4114

Mailing address

364 S Front St
Memphis, TN 38103-4114
Phone (901) 827-8091

National Provider Directory

National Provider Directory

Locations

364 S Front St
Memphis, TN 38103
Phone (901) 296-3000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17928/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1780172932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 S FRONT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034114",
            "telephone_number": "901-827-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 S FRONT ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034114",
            "telephone_number": "901-827-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "901 HEALTH & WELLNESS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "SCHOLZE",
        "authorized_official_first_name": "POLLYANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-827-8091",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 24, 2018; 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.