Renida Suez Talley, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

94331 Issued in TN

Practice address

1779 Kirby Pkwy
Ste 1/215
Memphis, TN 38138

Phone

(901) 584-6565

NPI assigned

Apr 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prestigious Wellness Transportation

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
  • NPI 1144078841

  Transportation Network Company

  NPD Authorized official
• Prestigious Wellness Transportation

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
  • NPI 1265265953

  Transportation Network Company

  NPD Authorized official

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1861244980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY",
            "address_2": "STE 1/215",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-584-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY",
            "address_2": "STE 1/215",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-584-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLEY",
        "first_name": "RENIDA",
        "middle_name": "SUEZ",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "TN",
            "license": "3918",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "94331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chance Talley
• Christy L Talley, B.P.S.
• David Keith Talley, O.D.
• Henry Clinton Talley V, PHD, CRNA
• Megan Talley
• Stacy Talley, PT
• Manish Talwar, M.B.B.S.
• Wing Sum Tam
• Tamarack Medical
• Iffat Tameez, MD

• Licensed Practical Nurse in Memphis, TN
• Providers in Memphis, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.