Organization Active NPI

Students, Mothers and Concerned Citizens

Doing business as Mary Taylor-Shelby

  • Ambulance
  • Memphis, TN
National Provider Identifier
1902031677
Registry record updated May 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
059824279 Issued in TN
Legal business name
STUDENTS, MOTHERS AND CONCERNED CITIZENS
Doing business as
Mary Taylor-Shelby
Practice address
3455 Rebeh Rd
Memphis, TN 38109-3433
Phone
(901) 785-9356
NPI assigned
May 23, 2009
Last updated
May 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2009

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

Authorized official

Name
Ms. Mary Delois Wright, FOUNDER
Title
President
Phone
(901) 277-8673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 059824279 TN Primary

Addresses

Primary practice location

3455 Rebeh Rd
Memphis, TN 38109-3433

Mailing address

PO Box 26365
Memphis, TN 38126-0365
Phone (901) 785-9356

Other identifiers 5

IdentifierTypeStateIssuer
172V00000XMedicaidTN
207W00000XMedicaidTN
171W00000XMedicaidTN
171M00000XMedicaidTN
193200000XOtherTNMULTI-SPCIALTY

Other names 1

  • Mary Taylor-Shelby Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1243036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243036800000",
    "number": "1902031677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26365",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381260365",
            "telephone_number": "901-785-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 REBEH RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381093433",
            "telephone_number": "901-785-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUDENTS, MOTHERS AND CONCERNED CITIZENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-23",
        "last_updated": "2009-05-23",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DELOIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-277-8673",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FOUNDER"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TN",
            "license": "059824279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172V00000X",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207W00000X",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171W00000X",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI-SPCIALTY",
            "identifier": "193200000X",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mary Taylor-Shelby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 23, 2009; 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.