Active NPI
Elizabeth Singletary Eddleman, MAC
- Pastoral Counselor
- Oxford, MS
National Provider Identifier
1104447010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 308 Enterprise Dr
Oxford, MS 38655-2944 - Phone
- (601) 613-2071
- NPI assigned
- May 1, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
308 Enterprise Dr
Oxford, MS 38655-2944
Mailing address
308 Enterprise Dr
Oxford, MS 38655-2944
Phone (601) 613-2071
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588291200000",
"number": "1104447010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 ENTERPRISE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386552944",
"telephone_number": "601-613-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 ENTERPRISE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386552944",
"telephone_number": "601-613-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDDLEMAN",
"first_name": "ELIZABETH",
"middle_name": "SINGLETARY",
"name_prefix": "Mrs.",
"credential": "MAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-01",
"last_updated": "2020-05-01",
"certification_date": "2020-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.