Active NPI
Webster County Schools
- School Registered Nurse
- Eupora, MS
National Provider Identifier
1104035179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- R863259
- Legal business name
- WEBSTER COUNTY SCHOOLS
- Practice address
- 1100 Naron Ave
Eupora, MS 39744-2902 - Phone
- (662) 258-8515
- NPI assigned
- May 22, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jimmy Pittman
- Title
- Superintendent
- Phone
- (662) 258-5921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R863259 | MS | Primary |
Addresses
Primary practice location
1100 Naron Ave
Eupora, MS 39744-2902
Mailing address
212 W Clark Ave
Eupora, MS 39744-2704
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09016075 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- Webster County Schools
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- School Registered Nurse
- Mathiston, MS
- NPI 1760693675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104035179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 W CLARK AVE",
"city": "EUPORA",
"state": "MS",
"postal_code": "397442704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NARON AVE",
"city": "EUPORA",
"state": "MS",
"postal_code": "397442902",
"telephone_number": "662-258-8515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER COUNTY SCHOOLS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PITTMAN",
"authorized_official_first_name": "JIMMY",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "662-258-5921",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, School",
"state": "MS",
"license": "R863259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09016075",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eupora, MS
- Abby Sutton, FNP C
- Charles P Tillman Jr., O.D.
- Laurie Turnipseed, PHARM.D.
- Christy Vowell, D.O.
- Walgreen Co (Murphy Drug #15804, Powered by Walgreens)
- Webster Health Services Inc (Webster Health Providers)
- Webster Health Services, Inc. (Eupora Pediatric Clinic)
- Webster Health Services, Inc. (Webster Health Services Ambulance)
- Webster Health Services, Inc. (Webster General Hospital - ER)
- Webster Health Services, Inc. (Eupora Family Medical Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.