Active NPI
Aisha Renea Outlaw, FNP
- Family Nurse Practitioner
- Starkville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R866124
- Practice address
- 400 Hospital Rd
Starkville, MS 39759-2163 - Phone
- (662) 323-4320
- NPI assigned
- Jan 19, 2016
- Last updated
- Jan 19, 2016
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R866124 | MS | Primary |
Addresses
Primary practice location
400 Hospital Rd
Starkville, MS 39759-2163
Mailing address
103 Eudora Welty Drive
J-02
Starkville, MS 39759-2163
Phone (662) 769-9781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1207 Ms Hwy 182
Starkville, MS 39759-6388
Phone (662) 320-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R866124 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golden Triangle Urgent Care LLC | Family | Current | Accepting new patients |
| Medplus New Albany LLC | Family | Current | Accepting new patients |
| Medplus Fulton , LLC | Current | Accepting new patients | |
| Medplus Starkville LLC | Family | Current | Accepting new patients |
| Golden Triangle Urgent Care LLC | Family | Current | Accepting new patients |
| Medplus Urgent Clinic LLC | Family | Current | Accepting new patients |
Locations
180 Park Plaza Dr
New Albany, MS 38652
Phone (662) 222-2273
1154 Cross Creek Dr
Saltillo, MS 38866
Phone (662) 840-8010
1207 Highway 182 W
Starkville, MS 39759
Phone (662) 320-7800
500 Russell St
Ste 3
Starkville, MS 39759
Phone (662) 324-2244
874 Barnes Crossing Rd
Tupelo, MS 38804
Phone (662) 841-0002
Interoperability endpoints
- aisha_outlaw_-_hospitalist_np@yourcarecommunity.org
- https://fhir4.healow.com/fhir/r4/BBJABD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Starkville, MS
- NPI 1336749274
-
dba Medplus Family and Urgent Care
- Family Medicine Physician
- New Albany, MS
- NPI 1154916872
-
- Family Medicine Physician
- Tupelo, MS
- NPI 1881077501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1174980478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 EUDORA WELTY DRIVE",
"address_2": "J-02",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592163",
"telephone_number": "662-769-9781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HOSPITAL RD",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592163",
"telephone_number": "662-323-4320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUTLAW",
"first_name": "AISHA",
"middle_name": "RENEA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-19",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R866124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Starkville, MS
- Ortho Express Holding Company LLC (OrthoXpress of Starkville)
- Lindy Marie Oswalt, L.P.C.-S.
- OT 4 Kidz, LLC
- Michelle Palmertree Ousley, LMSW
- Adrienne L Outlaw, PHARM.D.
- Angela Suzanne Owens, NP-C
- Kawaski J Owens, LPC
- Amanda Padilla Barnett
- Cassandra A. Palmer, MS, LPC, NCC
- Hubert Wayne Parker, MS, NCC, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.