SHIRLEY SPILLER-JOHNSON ADMINISTRATOR/OPERAT NPI 1740678960

NPI Information

NPI: 1740678960
Provider Name: SHIRLEY SPILLER-JOHNSON, ADMINISTRATOR/OPERAT
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
2051 MONTREAT DR
MEMPHIS, TN
ZIP 38134
Phone: (901) 598-7437
Get Directions

Shirley Spiller-johnson, ADMINISTRATOR/OPERAT is a licensed practical nurse in Memphis, TN. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Shirley Spiller-johnson, ADMINISTRATOR/OPERAT NPI is 1740678960. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2051 MONTREAT DR
MEMPHIS, TN
ZIP 38134-613
Phone: (901) 598-7437
Fax: (901) 388-7366

The enumeration date for this NPI number is 12/23/2014 and was last updated on 12/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		0000000565	TENNESSEE	Yes
2	372500000X	Chore Provider		0000000565	TENNESSEE	No
3	372600000X	Adult Companion		0000000565	TENNESSEE	No
4	3747A0650X	Technician	Attendant Care Provider	0000000565	TENNESSEE	No
5	3747P1801X	Technician	Personal Care Attendant	0000000565	TENNESSEE	No
6	376G00000X	Nursing Home Administrator		0000000565	TENNESSEE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H445488	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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