Active NPI
Lisa Byrd Healthcare Inc
Doing business as Bolton Family Clinic
- Nurse Practitioner
- Bolton, MS
National Provider Identifier
1164660635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R652075
- Legal business name
- LISA BYRD HEALTHCARE INC
- Doing business as
- Bolton Family Clinic
- Practice address
- 115 W Madison St
Bolton, MS 39041-3209 - Phone
- (601) 866-7723
- Fax
- (601) 866-7773
- NPI assigned
- Jan 22, 2009
- Last updated
- Jan 22, 2009
- Organization subpart
- Yes
- Parent organization
- MISSISSIPPI NURSE PRACTITIONERS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Byrd, CFNP
- Title
- President
- Phone
- (601) 866-7723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R652075 | MS | Primary |
Addresses
Primary practice location
115 W Madison St
Bolton, MS 39041-3209
Mailing address
PO Box 217
Bolton, MS 39041-0217
Phone (601) 866-7723
Other names 1
- Bolton Family Clinic
National Provider Directory
National Provider Directory- Part of
- Mississippi Nurse Practitioners Inc
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.
-
- Family Nurse Practitioner
- Tallulah, LA
- NPI 1023036381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232582400000",
"number": "1164660635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 217",
"city": "BOLTON",
"state": "MS",
"postal_code": "390410217",
"telephone_number": "601-866-7723",
"fax_number": "601-866-7773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W MADISON ST",
"city": "BOLTON",
"state": "MS",
"postal_code": "390413209",
"telephone_number": "601-866-7723",
"fax_number": "601-866-7773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA BYRD HEALTHCARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MISSISSIPPI NURSE PRACTITIONERS INC",
"enumeration_date": "2009-01-22",
"last_updated": "2009-01-22",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-866-7723",
"authorized_official_credential": "CFNP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R652075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bolton Family Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bolton, MS
- Caring Hands Touch of Care
- Central Mississippi Civic Improvement Association, Inc (Jackson Hinds Comprehensive Health Center)
- Dr Robert Woodruff DPM PA
- Janet Gray
- Health Wellness Promotion LLC (Bolton Family Clinic)
- Lisa Byrd Healthcare Inc (Bolton Family Clinic)
- Jean Pennington Marks, GNP-BC
- Mississippi Nurse Practitioners Inc
- Fredrica Oliver
- Amy Monett-Shamon Shoulders Thomas, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.