THE SHOT NURSE
NPI 1134537061
Clinic/Center - Health Service in Germantown, TN
NPI Status: Active since July 23, 2014
Contact Information
7596 W FARMINGTON BLVD
GERMANTOWN, TN
ZIP 38138
Phone: (901) 685-9999
Fax: (901) 767-8388
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 44D2023517
- CLIA Cert. Type: Other - WELLNESS CLINIC-SCREENING
- CLIA Exp. Date: 04-25-2027
About THE SHOT NURSE
This page provides the complete NPI Profile along with additional information for The Shot Nurse, a provider established in Germantown, Tennessee operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1134537061 assigned on July 2014. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as The Shot Nurse. The authorized official of this NPI record is Deborah Overall Rn (Vice-president)
- NPI
- 1134537061
- Provider Legal Name
- SHOT NURSE-MEMPHIS, P.C.
- Other Organization Name
- THE SHOT NURSE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 7596 W FARMINGTON BLVD GERMANTOWN, TN 38138
- Location Phone
- (901) 685-9999
- Location Fax
- (901) 767-8388
- Mailing Address
- 4637 POPLAR AVE MEMPHIS, TN 38117
- Mailing Phone
- (901) 685-9999
- Mailing Fax
- (901) 767-8388
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-23-2014
- Last Update Date
- 07-23-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2023517
- Facility Type
- Other - WELLNESS CLINIC-SCREENING
- Certificate Effective Date
- April 26, 2025
- Certificate Expiration Date
- April 25, 2027
- Laboratory Director
- DEBORAH OVERALL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Shot Nurse to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 3 | 4 | 5 | 3 | 7 | 0 | 6 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 6 | 4 | 10 | 3 | 14 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 6 + 4 + 1 + 0 + 3 + 1 + 4 + 0 + 1 + 2 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1134537061 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134537061, enumerated in the NPI registry as an "organization" on July 23, 2014
The provider is located at 7596 W Farmington Blvd Germantown, Tn 38138 and the phone number is (901) 685-9999
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider's CLIA number is 44D2023517 for a "other - wellness clinic-screening" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on July 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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