ICP TENNESSEE ACO BILLING LLC
NPI 1174107338
Clinical Nurse Specialist in Memphis, TN

NPI Status: Active since May 12, 2021

Contact Information

5100 POPLAR AVE STE 2700
MEMPHIS, TN
ZIP 38137
Phone: (855) 498-6767
Fax: (479) 968-1673

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  • Organization
  • Clinical Nurse Specialist

About ICP TENNESSEE ACO BILLING LLC

This page provides the complete NPI Profile along with additional information for Icp Tennessee Aco Billing Llc, a provider established in Memphis, Tennessee operating as a Clinical Nurse Specialist. The healthcare provider is registered in the NPI registry with number 1174107338 assigned on May 2021. The practitioner's primary taxonomy code is 364S00000X. The provider is registered as an organization and their NPI record was last updated 4 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 authorized official of this NPI record is Rodney Thomason (Authorized Official)

NPI
1174107338
Provider Name
ICP TENNESSEE ACO BILLING LLC
Entity Type
Organization
Location Address
5100 POPLAR AVE STE 2700 MEMPHIS, TN 38137
Location Phone
(855) 498-6767
Location Fax
(479) 968-1673
Mailing Address
PO BOX 9178 RUSSELLVILLE, AR 72811
Mailing Phone
(855) 498-6767
Mailing Fax
(479) 968-1673
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2021
Last Update Date
05-12-2021
Code Navigator

A Clinical Nurse Specialist (CNS) like Icp Tennessee Aco Billing Llc is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.

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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

Clinical Nurse Specialist

Taxonomy Code
364S00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RODNEY THOMASON

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(501) 406-6180

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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.
1174107338
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144201436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 2 + 0 + 1 + 4 + 3 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1174107338 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1578872123SMILE TENNESSEE P.C.
Organization
Dentist5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
(888) 833-8441
1184170268 MOLLY LEDBETTER FNP
Individual
Nurse Practitioner (Family)5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
(901) 201-4680
1710454962 HEATHER ELAINE HICKS MSN, APRN, FNP-C
Individual
Nurse Practitioner (Family)5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
(901) 201-4680
1023307758MATRIX MEDICAL NETWORK OF TENNESSEE, PC
Organization
Nurse Practitioner5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
(480) 862-1677
1851721286AT YOUR BEST INC
Organization
In Home Supportive Care5100 POPLAR AVE STE 2700
MEMPHIS, TN 38137
(013) 523-3779

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174107338, enumerated in the NPI registry as an "organization" on May 12, 2021

The provider is located at 5100 Poplar Ave Ste 2700 Memphis, Tn 38137 and the phone number is (855) 498-6767

This medical organization specializes in Clinical Nurse Specialist with taxonomy code 364S00000X

This NPI record was last updated on May 12, 2021. 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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