Organization Active NPI

Healthstop LLC

  • Internal Medicine Physician
  • Biloxi, MS
National Provider Identifier
1023477080
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEALTHSTOP LLC
Practice address
2490 Pass Rd
Biloxi, MS 39531-2838
Phone
(228) 207-9967
Fax
(228) 273-1532
NPI assigned
Feb 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lily C Kakish, CCRC, MBA
Title
President
Phone
(251) 455-4192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2490 Pass Rd
Biloxi, MS 39531-2838

Mailing address

2490 Pass Rd
Biloxi, MS 39531-2838
Phone (228) 207-9967

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1023477080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312838",
            "telephone_number": "228-207-9967",
            "fax_number": "228-273-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 PASS RD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312838",
            "telephone_number": "228-207-9967",
            "fax_number": "228-273-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTOP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "KAKISH",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-455-4192",
        "authorized_official_credential": "CCRC, MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.