Active NPI
The Diabetes Center, PLLC
- Adult Health Nurse Practitioner
- Ocean Springs, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- R854239
- Legal business name
- THE DIABETES CENTER, PLLC
- Practice address
- 1278 Ocean Springs Rd
Ocean Springs, MS 39564-3409 - Phone
- (228) 875-3606
- Fax
- (228) 875-3687
- NPI assigned
- Oct 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen C Arnold, A.N.P.
- Title
- Owner
- Phone
- (228) 875-3606
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | R854239 | MS | Primary |
Addresses
Primary practice location
1278 Ocean Springs Rd
Ocean Springs, MS 39564-3409
Mailing address
3099 Bienville Blvd
Ocean Springs, MS 39564-4308
Phone (228) 875-3606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01850731 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D1047353 | Diabetes Center, PLLC, the | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1278 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-3606
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Ocean Springs, MS
- NPI 1134107139
Adult Health
-
- Family Nurse Practitioner
- Biloxi, MS
- NPI 1962208678
-
- Family Nurse Practitioner
- Ocean Springs, MS
- NPI 1235943341
-
- Family Nurse Practitioner
- Flowood, MS
- NPI 1659051621
-
- Family Nurse Practitioner
- Ocean Springs, MS
- NPI 1366398398
-
- Family Nurse Practitioner
- Flowood, MS
- NPI 1992323059
-
- Family Nurse Practitioner
- Lucedale, MS
- NPI 1952628398
-
- Family Nurse Practitioner
- Picayune, MS
- NPI 1720659758
-
- Family Nurse Practitioner
- Biloxi, MS
- NPI 1942938485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596585600000",
"number": "1043391436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3099 BIENVILLE BLVD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395644308",
"telephone_number": "228-875-3606",
"fax_number": "228-875-3687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1278 OCEAN SPRINGS RD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395643409",
"telephone_number": "228-875-3606",
"fax_number": "228-875-3687"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DIABETES CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-18",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "228-875-3606",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "A.N.P."
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": "MS",
"license": "R854239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01850731",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.