Active NPI
Jacqueline Hudson Myles
- Chore Provider
- Memphis, TN
National Provider Identifier
1851856025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chore Provider
- Practice address
- 3940 Hedgerow Dr
Memphis, TN 38109-4424 - Phone
- (901) 679-1687
- NPI assigned
- Feb 1, 2019
- Last updated
- Feb 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Primary |
Addresses
Primary practice location
3940 Hedgerow Dr
Memphis, TN 38109-4424
Mailing address
3940 Hedgerow Dr
Memphis, TN 38109-4424
Phone (901) 679-1687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 066238725 | Other | TN | TRANSPORTATION |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548979200000",
"number": "1851856025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3940 HEDGEROW DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381094424",
"telephone_number": "901-679-1687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3940 HEDGEROW DR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381094424",
"telephone_number": "901-679-1687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLES",
"first_name": "JACQUELINE",
"middle_name": "HUDSON",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-01",
"last_updated": "2019-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRANSPORTATION",
"identifier": "066238725",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Myeyedr Optometry of Tennessee, LLC (MyEyeDr)
- Myeyedr Optometry of Tennessee, LLC (MyEyeDr)
- Myeyedr Optometry of Tennessee, LLC (MyEyeDr.)
- Myeyedr Optometry of Tennessee, LLC (MyEyeDr.)
- Myeyedr Optometry of Tennessee, LLC (MyEyeDr.)
- Mary Mynatt, APN
- Sarah Mynatt, APRN, BC
- Kathryn N Myrick-Jones, LPC-MHSP
- Elizabeth Griffith Myrick, CRNA
- Raven Myrick, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.