Active NPI
Desoto County School
- School Registered Nurse
- Southaven, MS
National Provider Identifier
1043427198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R644978
- Legal business name
- DESOTO COUNTY SCHOOL
- Practice address
- Hope Sullivan Elemenaty
7985 Southaven Circle West
Southaven, MS 38671 - Phone
- (662) 393-2919
- Fax
- (662) 393-2920
- NPI assigned
- May 17, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Milton Kuykendall
- Title
- Superintendent
- Phone
- (662) 429-5271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R644978 | MS | Primary |
Addresses
Primary practice location
Hope Sullivan Elemenaty
7985 Southaven Circle West
Southaven, MS 38671
Mailing address
5 E South St
Hernando, MS 38632-2216
Phone (662) 429-5271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 06807208 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Desoto County Schools
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- School Registered Nurse
- Hernando, MS
- NPI 1114134178
-
- Speech-Language Pathologist
- Hernando, MS
- NPI 1164639886
-
- Local Education Agency (LEA)
- Walls, MS
- NPI 1265645527
Locations
7985 Southaven Cir W
Southaven, MS 38671
Phone (662) 393-2919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1043427198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 E SOUTH ST",
"city": "HERNANDO",
"state": "MS",
"postal_code": "386322216",
"telephone_number": "662-429-5271",
"fax_number": "662-449-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOPE SULLIVAN ELEMENATY",
"address_2": "7985 SOUTHAVEN CIRCLE WEST",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "38671",
"telephone_number": "662-393-2919",
"fax_number": "662-393-2920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESOTO COUNTY SCHOOL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KUYKENDALL",
"authorized_official_first_name": "MILTON",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "662-429-5271",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "MS",
"license": "R644978",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06807208",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
- Dental Professionals of Mississippi, P.C. (Main Street Dental)
- Lisa Deptula, PA, MD
- Dermatology Clinic of North Mississippi, P.L.L.C.
- Desoto Adult Medicine Associates, PLLC
- Desoto County Chiropractic, Inc.
- Desoto Dna and Diagnostic Center
- Desoto Eye and Ear
- Desoto Eye Surgery Center LLC
- Desoto Eyecare Inc
- Desoto Family Care Clinic, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.