Active NPI
Casey Herrington
- Women's Health Nurse Practitioner
- Laurel, MS
National Provider Identifier
1245648104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- R861795
- Practice address
- 117 S 11TH Ave
Laurel, MS 39440-4312 - Phone
- (601) 437-3033
- Fax
- (601) 422-0431
- NPI assigned
- Jul 23, 2014
- Last updated
- Jan 31, 2017
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | R861795 | MS | Primary |
Addresses
Primary practice location
117 S 11TH Ave
Laurel, MS 39440-4312
Mailing address
117 S 11TH Ave
Laurel, MS 39440-4312
Phone (601) 437-3033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center, Inc | Current | Accepting new patients | |
| Family Health Center Inc | Current | Accepting new patients | |
| Family Health Center, Inc | Current | Accepting new patients |
Locations
117 S 11th Ave
Laurel, MS 39440
Phone (601) 425-3033
Organizations & group practices 3
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.
-
- Clinic/Center
- Laurel, MS
- NPI 1760488357
-
- Federally Qualified Health Center (FQHC)
- Ellisville, MS
- NPI 1083255087
-
dba OB / GYN Clinic at Family Health Center
- Obstetrics & Gynecology Physician
- Laurel, MS
- NPI 1003096785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485820800000",
"number": "1245648104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 S 11TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404312",
"telephone_number": "601-437-3033",
"fax_number": "601-422-0431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 S 11TH AVE",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404312",
"telephone_number": "601-437-3033",
"fax_number": "601-422-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRINGTON",
"first_name": "CASEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-23",
"last_updated": "2017-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MS",
"license": "R861795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.