Bobby Winbush

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Practice address

1167 Parkland Rd
Memphis, TN 38111

Phone

(919) 633-7771

NPI assigned

Aug 28, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472342400000",
    "number": "1831645100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1167 PARKLAND RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114009",
            "telephone_number": "919-633-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1167 PARKLAND RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38111",
            "telephone_number": "919-633-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINBUSH",
        "first_name": "BOBBY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vickie Renae Wilson
• Yamika Shantell Wilson
• Erika Rene Wilt, MD
• Latrina Wimberly, M.D.
• Mark Douglas Winborn, PH.D.
• Kristin Janee' Winbush, LPC-MHSP
• Joshua K Winchell, BA
• John Sturdivant Winford III, DDS
• William Trevor Winfrey
• Lamarcus Wingate, PHARM.D.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Memphis, TN
• Providers in Memphis, TN by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.