Active NPI
Abby Elizabeth Prentiss
- Behavior Technician
- Cordova, TN
National Provider Identifier
1871208942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 790744
- Practice address
- 146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396 - Phone
- (901) 654-5693
- NPI assigned
- Jan 23, 2023
- Last updated
- Jan 23, 2023
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 790744 | TN | Primary |
Addresses
Primary practice location
146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396
Mailing address
146 Timber Creek Dr Ste 101
Cordova, TN 38018-4396
Phone (901) 654-5693
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 |
|---|---|---|---|
| 790744 | TN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1871208942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 TIMBER CREEK DR STE 101",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184396",
"telephone_number": "901-654-5693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 TIMBER CREEK DR STE 101",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184396",
"telephone_number": "901-654-5693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTISS",
"first_name": "ABBY",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TN",
"license": "790744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
- Precious Cargo Senior Services
- Precision Mental Health LLP
- Precision Mental Health, LLC
- Premier Infusion, Inc.
- Premier Transport Services LLC
- Peyton Presley, DPT
- Latia Price, RBT
- Rebecca Price, LPC-MHSP(TEMP)
- Priority One Medical, Inc. (Memphis Medical Rehabilitation Center)
- David Lanier Pritchard, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.