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TERRELL SEAN TATE BOCP, CO
NPI 1164929543
Specialist - Prosthetics Case Management in Memphis, TN

Active since April 11, 2018
1661 INTERNATIONAL DRIVE, SUITE 400, MEMPHIS, TN 38120(901) 340-2008 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2021, Jul 14, 2020, Apr 11, 2018 (3 updates tracked since 2018).

About Terrell Sean Tate Bocp, Co NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERRELL SEAN TATE BOCP, CO (NPI 1164929543) is an individual prosthetics case management provider in Memphis, Tennessee, licensed in Tennessee (PRO130) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1164929543
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
Provider Legal NameTERRELL SEAN TATECredential: BOCP, CO
Location Address1661 INTERNATIONAL DRIVE, SUITE 400Memphis, TN 38120-1431
Mailing Address1661 International Place Dr Ste 400Memphis, TN 38120-1431 · (901) 818-3175
Phone(901) 340-2008
Sole ProprietorYes
Enumeration DateApril 11, 2018
Last NPPES UpdateMay 28, 20213 updates tracked since enumeration
NPPES CertifiedMay 28, 2021
✔ NPI 1164929543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
License✔ Licensed in TN · PRO130
Definition
Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.
1661 INTERNATIONAL DRIVE, Memphis, TN 38120
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Other Identifiers 1

OtherPRO130TN · Tn Dept Of Health Division Of Related Boards

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEMETRA STACKHOUSE-POWE PHD, LMSW
Social Worker
1661 INTERNATIONAL DRIVE, SUITE 400
MEMPHIS, TN 38120
Shelby County (901) 646-5225
SENIORWELL OF TENNESSEE LLC
Optometrist
1661 INTERNATIONAL DRIVE, SUITE 400
MEMPHIS, TN 38120
Shelby County (844) 882-3127

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Terrell Tate's NPI number?

The NPI number for Terrell Tate is 1164929543. It was assigned to this individual provider in the NPPES registry on April 11, 2018.

Where is Terrell Tate located?

Terrell Tate practices at 1661 International Drive Suite 400, Memphis, TN 38120. The listed phone number is (901) 340-2008.

What is Terrell Tate's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Terrell Tate was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.