Organization Active NPI

Webster County Schools

  • School Registered Nurse
  • Eupora, MS
National Provider Identifier
1104035179
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R863259 Issued in MS
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
09016075MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Webster County Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.