Mississippi Nurse Practitioners Inc

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

R652075 Issued in MS

Legal business name

MISSISSIPPI NURSE PRACTITIONERS INC

Practice address

441 Kingsbridge Rd
Madison, MS 39110-7644

Phone

(601) 941-5497

Fax

(601) 866-7773

NPI assigned

Jan 9, 2009

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa M Byrd, NP

Title

Owner

Phone

(601) 941-5497

Specialties & licenses 2

Addresses

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.

• Alebra Lee Porter, NP

  • Adult Health Nurse Practitioner
  • Wilmington, NC
  • NPI 1952563249
  NPD (past)

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1184861320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 KINGSBRIDGE RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107644",
            "telephone_number": "601-941-5497",
            "fax_number": "601-866-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 KINGSBRIDGE RD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107644",
            "telephone_number": "601-941-5497",
            "fax_number": "601-866-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI NURSE PRACTITIONERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-941-5497",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R652075",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "R652075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mississippi CVS Pharmacy, L.L.C (CVS Pharmacy #04993)
• Mississippi CVS Pharmacy, L.L.C. (CVS Pharmacy # 08310)
• Mississippi Ear, Nose and Throat Surgical Associates, P.C.
• Mississippi Eye Group, LLC (Mississippi Eye Group)
• Mississippi Medical Group, Inc
• Mississippi Premier Plastic Surgery, PLLC
• Mississippi Retina Associates,PLLC
• Mississippi Vein Institute
• Elizabeth Wyatt Mitchell, M.D.
• Peter Nathanael Mittwede, M.D., PH.D.

• Primary Care Nurse Practitioner in Madison, MS
• Providers in Madison, MS by specialty
• Primary Care Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.