NPIMap

Organization Active NPI

South Pike School District

  • School Registered Nurse
  • Magnolia, MS
National Provider Identifier
1265627467
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R865890 Issued in MS
Legal business name
SOUTH PIKE SCHOOL DISTRICT
Practice address
205 W Myrtle St
Magnolia, MS 39652-2717
Phone
(601) 783-2312
Fax
(601) 783-4179
NPI assigned
Sep 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Authorized official

Name
Dr. Bill Gunnell
Title
Superintendent
Phone
(601) 783-2312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X R865890 MS Primary

Addresses

Primary practice location

205 W Myrtle St
Magnolia, MS 39652-2717

Mailing address

205 W Myrtle St
Magnolia, MS 39652-2717
Phone (601) 783-2312

Other identifiers 1

IdentifierTypeStateIssuer
08509558MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Eva Gordon Kids Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

205 W Myrtle St
Magnolia, MS 39652
Phone (601) 783-2312

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189468800000",
    "number": "1265627467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W MYRTLE ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522717",
            "telephone_number": "601-783-2312",
            "fax_number": "601-783-4179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W MYRTLE ST",
            "city": "MAGNOLIA",
            "state": "MS",
            "postal_code": "396522717",
            "telephone_number": "601-783-2312",
            "fax_number": "601-783-4179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PIKE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2007-09-11",
        "status": "A",
        "authorized_official_last_name": "GUNNELL",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "601-783-2312",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R865890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08509558",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.