MIND REBIRTH PLLC
NPI 1457089880
Nurse Practitioner - Psychiatric/Mental Health in Memphis, TN

Q: What is Mind Rebirth PLLC's NPI number?

The NPI number for Mind Rebirth PLLC is 1457089880. It was assigned to this organization in the NPPES registry on August 12, 2022.

Q: What is Mind Rebirth PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Mind Rebirth PLLC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since August 12, 2022

3923 RIDGEDALE ST, MEMPHIS, TN 38127(901) 208-6984 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mind Rebirth Pllc NPPES

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

MIND REBIRTH PLLC (NPI 1457089880) is a healthcare organization registered as a psychiatric/mental health in Memphis, Tennessee and active in the NPI registry since August 2022. The organization lists Vickie Michelle Johnson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1457089880

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMIND REBIRTH PLLC

Location Address3923 RIDGEDALE STMemphis, TN 38127-4036

Mailing Address3923 Ridgedale StMemphis, TN 38127-4036 · (901) 208-6984

Phone(901) 208-6984

Organization SubpartNo

Authorized OfficialVickie Michelle JohnsonNurse Practitioner · (901) 208-6984

Enumeration DateAugust 12, 2022

NPPES CertifiedAugust 9, 2022

✔ NPI 1457089880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

3923 RIDGEDALE ST, Memphis, TN 38127

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MIND REBIRTH PLLC

Nurse Practitioner (Psychiatric/Mental Health)

3923 RIDGEDALE ST
MEMPHIS, TN 38127

Shelby County (901) 208-6984

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 Mind Rebirth PLLC's NPI number?

The NPI number for Mind Rebirth PLLC is 1457089880. It was assigned to this organization in the NPPES registry on August 12, 2022.

Where is Mind Rebirth PLLC located?

Mind Rebirth PLLC is located at 3923 Ridgedale St, Memphis, TN 38127. The listed phone number is (901) 208-6984.

What is Mind Rebirth PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mind Rebirth PLLC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.