Active NPI
Bianca Juselle Sweeten, MD
- Pediatrics Physician
- Memphis, TN
National Provider Identifier
1942300892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 34353
- Practice address
- 1407 Union Ave
Suite 305
Memphis, TN 38104-3627 - Phone
- (901) 844-1459
- Fax
- (901) 274-3475
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 34353 | TN | Primary |
Addresses
Primary practice location
1407 Union Ave
Suite 305
Memphis, TN 38104-3627
Mailing address
1407 Union Ave
Suite 305
Memphis, TN 38104-3627
Phone (901) 844-1459
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1523554 | Medicaid | TN | |
| 3857960 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Primary Care LLC | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| Baptist Memorial Hospital | Past | Accepting new patients |
Interoperability endpoints
- bsweeten23594@mlh.direct-ci.com
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Memphis, TN
- NPI 1033249974
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1558365890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1942300892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 UNION AVE",
"address_2": "SUITE 305",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043627",
"telephone_number": "901-844-1459",
"fax_number": "901-274-3475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 UNION AVE",
"address_2": "SUITE 305",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381043627",
"telephone_number": "901-844-1459",
"fax_number": "901-274-3475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEETEN",
"first_name": "BIANCA",
"middle_name": "JUSELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "34353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1523554",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3857960",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}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 Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.