NPIMap

Organization Active NPI

Healthyconnect of Mississippi PLLC

  • Adult Health Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1083487334
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
HEALTHYCONNECT OF MISSISSIPPI PLLC
Practice address
1880 Lakeland Dr Ste E
Jackson, MS 39216-4916
Phone
(769) 447-3042
Fax
(769) 447-3048
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Wendy HughesNPI 1518035377
Title
Admin
Phone
(769) 447-3042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1880 Lakeland Dr Ste E
Jackson, MS 39216-4916

Mailing address

1880 Lakeland Dr Ste E
Jackson, MS 39216-4916
Phone (769) 447-3042

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1083487334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LAKELAND DR STE E",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164916",
            "telephone_number": "769-447-3042",
            "fax_number": "769-447-3048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 LAKELAND DR STE E",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164916",
            "telephone_number": "769-447-3042",
            "fax_number": "769-447-3048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHYCONNECT OF MISSISSIPPI PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "769-447-3042"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.