Organization
COMMUNITY TRANSITION NURSE CARE MANAGER, LLC
Active
Other names
Shephard Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
ADDIE MARCHANT (OWNER/CEO)
(901) 550-1486
Entity
Organization
Contact information
Practice address
3238 PLAYERS CLUB CIR STE 58&59, MEMPHIS, TN 38125-8843
(901) 869-5744
(901) 794-4128
Mailing address
4405 TIMBER JUMP, MEMPHIS, TN 38141-7395
(901) 550-1486
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
1000000016409
TN
261QP2300X
Primary Care Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q013486
—
TN
Enumeration date
06/10/2015
Last updated
08/04/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up