Lighthouse Healthcare Nanci W Parish NP, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R619442 Issued in MS

Legal business name

LIGHTHOUSE HEALTHCARE NANCI W PARISH NP, LLC

Practice address

6 Siebenkittel Cir
Suite E
Carriere, MS 39426-8777

Phone

(601) 798-2005

Fax

(601) 798-2052

NPI assigned

Aug 24, 2009

Last updated

Jul 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nanci W Parish, NP

Title

Owner

Phone

(601) 798-2005

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1053544155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 419",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660419",
            "telephone_number": "601-798-2005",
            "fax_number": "877-635-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SIEBENKITTEL CIR",
            "address_2": "SUITE E",
            "city": "CARRIERE",
            "state": "MS",
            "postal_code": "394268777",
            "telephone_number": "601-798-2005",
            "fax_number": "601-798-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGHTHOUSE HEALTHCARE NANCI W PARISH NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "PARISH",
        "authorized_official_first_name": "NANCI",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-798-2005",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R619442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1245348689",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117683",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "01808531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1053544155",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Carriere, MS
• Providers in Carriere, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.