Active NPI
Stephen Houck Jr., RN
- Administrator Registered Nurse
- Flowood, MS
National Provider Identifier
1083522189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 896345
- Practice address
- 4436 Mangum Dr
Flowood, MS 39232-2113 - Phone
- (601) 720-9900
- Fax
- (601) 586-7071
- NPI assigned
- Aug 31, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 896345 | MS | Primary |
Addresses
Primary practice location
4436 Mangum Dr
Flowood, MS 39232-2113
Mailing address
207 Acadia LN
Madison, MS 39110-8454
Phone (601) 720-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788134400000",
"number": "1083522189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 ACADIA LN",
"city": "MADISON",
"state": "MS",
"postal_code": "391108454",
"telephone_number": "601-720-9900",
"fax_number": "601-586-7071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4436 MANGUM DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392322113",
"telephone_number": "601-720-9900",
"fax_number": "601-586-7071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUCK",
"first_name": "STEPHEN",
"name_suffix": "Jr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-31",
"last_updated": "2026-08-31",
"certification_date": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "MS",
"license": "896345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.