Active NPI
Cari Thawn Macdonald, FNP
- Family Nurse Practitioner
- Picayune, MS
National Provider Identifier
1013100676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R863177
- Practice address
- 2274 Highway 43 S
Picayune, MS 39466-8141 - Phone
- (601) 798-3989
- Fax
- (601) 798-3964
- NPI assigned
- Aug 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R863177 | MS | Primary |
| Family Nurse Practitioner | 363LF0000X | AP03549 | LA |
Addresses
Primary practice location
2274 Highway 43 S
Picayune, MS 39466-8141
Mailing address
2274 Highway 43 S
Picayune, MS 39466-8141
Phone (601) 798-3989
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09226703 | Medicaid | MS | |
| 841721808 | Other | MS | MS PHYSICIAN CARE NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1183 | AK | MD | Pharmacist |
| AP03549 | LA | MD | Family Nurse Practitioner |
| R863177 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Van Meter MD & Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- New Orleans, LA
- NPI 1275638272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385337600000",
"number": "1013100676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2274 HIGHWAY 43 S",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394668141",
"telephone_number": "601-798-3989",
"fax_number": "601-798-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2274 HIGHWAY 43 S",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394668141",
"telephone_number": "601-798-3989",
"fax_number": "601-798-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACDONALD",
"first_name": "CARI",
"middle_name": "THAWN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2013-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R863177",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP03549",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09226703",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS PHYSICIAN CARE NETWORK",
"identifier": "841721808",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.