NPIMap

Organization Active NPI

Your Endocrinology Specialist, LLC

  • Health Service Clinic/Center
  • Diamondhead, MS
National Provider Identifier
1245571223
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
YOUR ENDOCRINOLOGY SPECIALIST, LLC
Practice address
5402 W Aloha Dr
Diamondhead, MS 39525-3329
Phone
(708) 941-9722
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
Dr. Kimberly Barnes
Title
Physician
Phone
(228) 220-4194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

5402 W Aloha Dr
Diamondhead, MS 39525-3329

Mailing address

PO Box 4094
Biloxi, MS 39535-4094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1245571223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4094",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 W ALOHA DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395253329",
            "telephone_number": "708-941-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR ENDOCRINOLOGY SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "228-220-4194",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamondhead, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; 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.