Organization Active NPI

Upscale Healthcare, LLC

  • Licensed Practical Nurse
  • Southaven, MS
National Provider Identifier
1023539459
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
333889 Issued in MS
Legal business name
UPSCALE HEALTHCARE, LLC
Practice address
5905 Airways Blvd Apt 1604
Southaven, MS 38671-1853
Phone
(662) 671-4610
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Jakeya Geter, LPNNPI 1215487632
Title
Owner
Phone
(662) 671-4610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164W00000X 333889 MS Primary

Addresses

Primary practice location

5905 Airways Blvd Apt 1604
Southaven, MS 38671-1853

Mailing address

5905 Airways Blvd Apt 1604
Southaven, MS 38671-1853
Phone (662) 671-4610

Other identifiers 1

IdentifierTypeStateIssuer
333889OtherMSLPN LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023539459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 AIRWAYS BLVD APT 1604",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711853",
            "telephone_number": "662-671-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 AIRWAYS BLVD APT 1604",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711853",
            "telephone_number": "662-671-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSCALE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GETER",
        "authorized_official_first_name": "JAKEYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-671-4610",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "333889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE",
            "identifier": "333889",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.