Individual provider Active NPI

Howard Curtis Nobles Jr., CNP

  • Nurse Practitioner
  • Bassfield, MS
National Provider Identifier
1083016372
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R625213 Issued in MS
Practice address
2560 Gates Rd
Bassfield, MS 39421-9045
Phone
(601) 270-4127
NPI assigned
Sep 18, 2014
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R625213 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

2560 Gates Rd
Bassfield, MS 39421-9045

Mailing address

2560 Gates Rd
Bassfield, MS 39421-9045
Phone (601) 270-4127

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
07000525MedicaidMS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 14, 2019.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1083016372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 GATES RD",
            "city": "BASSFIELD",
            "state": "MS",
            "postal_code": "394219045",
            "telephone_number": "601-270-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 GATES RD",
            "city": "BASSFIELD",
            "state": "MS",
            "postal_code": "394219045",
            "telephone_number": "601-270-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "HOWARD",
        "middle_name": "CURTIS",
        "name_suffix": "Jr.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-18",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R625213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07000525",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassfield, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.