NPIMap

Individual provider Active NPI

Nanci W Parish, FNP-BC

  • Nurse Practitioner
  • Picayune, MS
National Provider Identifier
1245348689
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
619442 Issued in MS
Practice address
1702 A Hwy 11 North
Picayune, MS 39466-0419
Phone
(601) 799-3130
Fax
(601) 799-3132
NPI assigned
Aug 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R619442 MS
Nurse Practitioner 363L00000X 619442 MS Primary

Addresses

Primary practice location

1702 A Hwy 11 North
Picayune, MS 39466-0419

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727

Other identifiers 5

IdentifierTypeStateIssuer
1053544155OtherMSGOUP: LIGHTHOUSE HEALTHCARE NANCI PARISH LLC
264793184OtherMSTAXONOMY
640507572VWOtherMSAMERICAN ADMIN GROUP
00117683MedicaidMS
1001384MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000886 MS Practitioner - Nurse Practitioner 2466434873 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Emergency Group LLC 28 clinicians
Forrest County General Hospital 107 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8600

1702 Hwy 11 N
Picayune, MS 39466-2016
Phone (601) 799-3130

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-4273

6051 US Hwy 49 S
Hattiesburg, MS 39401-7200
Phone (601) 288-7000

Hospital & facility affiliations

  • Forrest General Home Care Home health agency, Hattiesburg, MS, CCN 257127
  • Enhabit Home Health & Hospice Home health agency, Hattiesburg, MS, CCN 257091
  • Highland Community Hospital Hospital, Picayune, MS, CCN 250117
  • Ochsner Medical Center-Hancock Hospital, Bay Saint Louis, MS, CCN 250162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
619442MSMDNurse Practitioner
R619442MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Jan 29, 2021 Accepting new patients
Forrest County General Hospital CurrentSince Jan 29, 2021 Accepting new patients
Keystone Medical Services of Ms, Inc CurrentSince Apr 23, 2013 Accepting new patients
Hancock Emergency Group LLC Nurse Practitioner CurrentSince Feb 1, 2018 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Forrest County General Hospital Current Accepting new patients

Locations

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

1220 Jefferson St
Laurel, MS 39440
Phone (601) 426-4000

801 Goodyear Blvd
Picayune, MS 39466
Phone (601) 749-0688

1702 Highway 11 N
Ste A
Picayune, MS 39466
Phone (601) 799-3130

100 Hospital Dr
Tylertown, MS 39667
Phone (601) 876-0455

Organizations & group practices 29

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 29

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1245348689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5727",
            "fax_number": "225-765-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 A HWY 11 NORTH",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394660419",
            "telephone_number": "601-799-3130",
            "fax_number": "601-799-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISH",
        "first_name": "NANCI",
        "middle_name": "W",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R619442",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "619442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GOUP: LIGHTHOUSE HEALTHCARE NANCI PARISH LLC",
            "identifier": "1053544155",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "264793184",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ADMIN GROUP",
            "identifier": "640507572VW",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117683",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001384",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Picayune, MS

Sources for this page

Verify at the official NPI Registry.