Mickey Aldridge, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R656151 Issued in MS

Practice address

239 Bowling Green Rd
Lexington, MS 39095-5167

Phone

(662) 834-1321

Fax

(662) 834-5240

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124142559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 BOWLING GREEN RD",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390955167",
            "telephone_number": "662-834-1321",
            "fax_number": "662-834-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 BOWLING GREEN RD",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390955167",
            "telephone_number": "662-834-1321",
            "fax_number": "662-834-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDRIDGE",
        "first_name": "MICKEY",
        "name_prefix": "Mr.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R656151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118986",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elias Habib Abboud, MD
• Kelsey Ables, PTA
• Vanessa Anderson, LSW
• Timothy Austin, PHARMD
• Brooke C Bell, DMD
• Better and Brighter Days Counseling Services, PLLC
• Frank A. Brown, M.D.

• Family Nurse Practitioner in Lexington, MS
• Providers in Lexington, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.