GARNET HEALTH PROVIDER LLC
NPI 1336503564
Nurse Practitioner - Acute Care in Memphis, TN

NPI Status: Active since April 13, 2016

Contact Information

4493 POTTERS CROSS DR
MEMPHIS, TN
ZIP 38125
Phone: (901) 336-8486

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  • Organization
  • Nurse Practitioner
  • Acute Care

About GARNET HEALTH PROVIDER LLC

This page provides the complete NPI Profile along with additional information for Garnet Health Provider Llc, a provider established in Memphis, Tennessee operating as a Nurse Practitioner, focusing in acute care . The healthcare provider is registered in the NPI registry with number 1336503564 assigned on April 2016. The practitioner's primary taxonomy code is 363LA2100X with license number 11962 (TN). The provider is registered as an organization and their NPI record was last updated 10 years ago. Garnet Health Provider Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Liesl R Bullen Apn (Sole Member/provider)

NPI
1336503564
Provider Name
GARNET HEALTH PROVIDER LLC
Entity Type
Organization
Location Address
4493 POTTERS CROSS DR MEMPHIS, TN 38125
Location Phone
(901) 336-8486
Mailing Address
PO BOX 381531 GERMANTOWN, TN 38183
Mailing Phone
(901) 417-1779
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2016
Last Update Date
07-27-2016
Code Navigator

A nurse practitioner (NP) like Garnet Health Provider Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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

Nurse Practitioner Acute Care

Taxonomy Code
363LA2100X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
11962
License State
TN

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LIESL R BULLEN APN

Authorized Official Title
SOLE MEMBER/PROVIDER
Authorized Official Phone
(901) 758-0280

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
103G705244MEDICARE PIN (08)TN 
Q020954MEDICAID (05)TN 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336503564, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 1 + 0 + 0 + 6 + 5 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1336503564.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336503564, enumerated as an "organization" on April 13, 2016.

The provider is located at 4493 POTTERS CROSS DR MEMPHIS, TN 38125 and the phone number is (901) 336-8486.

Nurse Practitioner with taxonomy code 363LA2100X and a focus in Acute Care.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.