Active NPI
Laquana Daniels
- Psychiatric/Mental Health Nurse Practitioner
- Richland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 905769
- Practice address
- 119 Rhemann Blvd
Richland, MS 39218-6044 - Phone
- (601) 248-5198
- NPI assigned
- Feb 7, 2023
- Last updated
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 905769 | MS | Primary |
Addresses
Primary practice location
119 Rhemann Blvd
Richland, MS 39218-6044
Mailing address
119 Rhemann Blvd
Richland, MS 39218-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
McComb, MS 39648
Phone (601) 248-5198
1727 E Union St
Greenville, MS 38703-3253
Phone (662) 537-4830
1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905769 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uppal Medical Center LLC | Current | Accepting new patients | |
| Minor Med Care, LLC | Current | Accepting new patients | |
| Healing Horizons Healthcare Services LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
1727 E Union St
Greenville, MS 38703
Phone (662) 332-0373
2860 McDowell Road Ext
Jackson, MS 39204
Phone (601) 372-1117
314 Howe St
McComb, MS 39648
Phone (601) 248-5198
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Richland, MS
- NPI 1821899444
-
- Rural Health Clinic/Center
- Greenville, MS
- NPI 1558927905
-
- Primary Care Clinic/Center
- Jackson, MS
- NPI 1407968738
-
dba Complete Care Rural Health Clinic
- Rural Health Clinic/Center
- Vicksburg, MS
- NPI 1669835310
-
- Rural Health Clinic/Center
- Raymond, MS
- NPI 1669575627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1033816392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 RHEMANN BLVD",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392186044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 RHEMANN BLVD",
"city": "RICHLAND",
"state": "MS",
"postal_code": "392186044",
"telephone_number": "601-248-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "LAQUANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "905769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richland, MS
- Craddock and Malley Dental PLLC (Richland Dental)
- Hillary Craddock, DMD
- Crossgates Hma Medical Group, LLC (Medical Associates of Richland)
- Crossgates Hma Medical Group, LLC (Medical Associates of Richland)
- Jeffrey Harrel Cumberland, D.M.D.
- Distinct Home Health Care Inc (Rotech)
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy Jackson LLC (Performance Rehab)
- East Metro Family Medical Clinic
- Elite-Diagnostic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.