Organization Active NPI

Sunflower School District

  • School Registered Nurse
  • Ruleville, MS
National Provider Identifier
1053509166
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R865550 Issued in MS
Legal business name
SUNFLOWER SCHOOL DISTRICT
Practice address
360 L F Packer Dr
Ruleville, MS 38771-3602
Phone
(662) 756-4757
NPI assigned
Oct 15, 2007
Last updated
Oct 15, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Authorized official

Name
Thomas Edwards
Title
Superintendent
Phone
(662) 887-4919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R865550 MS Primary

Addresses

Primary practice location

360 L F Packer Dr
Ruleville, MS 38771-3602

Mailing address

PO Box 70
Indianola, MS 38751-0070

Other identifiers 1

IdentifierTypeStateIssuer
08225047MedicaidMS

National Provider Directory

National Provider Directory

Locations

360 L F Packer Dr
Ruleville, MS 38771
Phone (662) 756-4757

NPI Registry JSON

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1053509166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387510070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 L F PACKER DR",
            "city": "RULEVILLE",
            "state": "MS",
            "postal_code": "387713602",
            "telephone_number": "662-756-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNFLOWER SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "662-887-4919"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R865550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08225047",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruleville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.