NPI 1487074712 · live from the CMS NPI Registry
Joshua Nissi Christian Bakke, M. D.
Pediatrics in Memphis, TN. National Provider Identifier 1487074712, active.
NPI record
| NPI | 1487074712 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 1129 Hale Rd, Memphis, TN 38116 |
| Practice phone | 901-396-0390 |
| Enumerated | April 25, 2014 |
| Last updated | June 27, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 56186 (TN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Pediatrics primary | 208000000X | 56186 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.