Organization Active NPI

Reach Mississippi Foundation Inc.

  • Specialist
  • Vicksburg, MS
National Provider Identifier
1053574210
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
R861797 Issued in MS
Legal business name
REACH MISSISSIPPI FOUNDATION INC.
Practice address
3420 Wisconsin Ave
Suite 5
Vicksburg, MS 39180-5384
Phone
(601) 661-8400
Fax
(601) 661-0048
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Ms. Whitney Ann Doiron, NP-C
Title
Nurse Practitioner
Phone
(601) 661-8400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X R861797 MS Primary

Addresses

Primary practice location

3420 Wisconsin Ave
Suite 5
Vicksburg, MS 39180-5384

Mailing address

3420 Wisconsin Ave
Suite 5
Vicksburg, MS 39180-5384
Phone (601) 661-8400

National Provider Directory

National Provider Directory

Locations

3420 Wisconsin Ave
Ste 5
Vicksburg, MS 39180
Phone (601) 661-8400

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1053574210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 WISCONSIN AVE",
            "address_2": "SUITE 5",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805384",
            "telephone_number": "601-661-8400",
            "fax_number": "601-661-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 WISCONSIN AVE",
            "address_2": "SUITE 5",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391805384",
            "telephone_number": "601-661-8400",
            "fax_number": "601-661-0048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACH MISSISSIPPI FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "DOIRON",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-661-8400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MS",
            "license": "R861797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vicksburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; 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.