Organization Active NPI

Family Clinic for Health & Wellness, LLC.

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1124275581
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R850771 Issued in MS
Legal business name
FAMILY CLINIC FOR HEALTH & WELLNESS, LLC.
Practice address
55 Sergeant Prentiss Dr
Suite 104
Natchez, MS 39120-4782
Phone
(601) 445-5556
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Yolanda Caprice Chandler, FNPCNPI 1043311541
Title
Owner
Phone
(601) 445-5556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R850771 MS Primary

Addresses

Primary practice location

55 Sergeant Prentiss Dr
Suite 104
Natchez, MS 39120-4782

Mailing address

55 Sergeant Prentiss Dr
Suite 104
Natchez, MS 39120-4782
Phone (601) 445-5556

Other identifiers 1

IdentifierTypeStateIssuer
02833234MedicaidMS

National Provider Directory

National Provider Directory

Locations

55 Sgt Prentiss Dr
Ste 104
Natchez, MS 39120
Phone (601) 442-6500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1124275581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SERGEANT PRENTISS DR",
            "address_2": "SUITE 104",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-445-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SERGEANT PRENTISS DR",
            "address_2": "SUITE 104",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204782",
            "telephone_number": "601-445-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CLINIC FOR HEALTH & WELLNESS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "CAPRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-445-5556",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02833234",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.