Childrens Health Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

CHILDRENS HEALTH CLINIC

Practice address

340 Van Dorn St
Grenada, MS 38901-4738

Phone

(662) 226-0325

Fax

(662) 226-0327

NPI assigned

Jun 10, 2020

Last updated

Jul 17, 2020By 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

Melanie Renae Williams

Title

Nurse/Owner

Phone

(662) 226-0325

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Sherry B Chrestman, FNP-C

  • Nurse Practitioner
  • Grenada, MS
  • NPI 1841482197
  NPD (past)
• Anna Cooper

  • Nurse Practitioner
  • Grenada, MS
  • NPI 1083589477

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1275158776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-226-0325",
            "fax_number": "662-226-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 VAN DORN ST",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014738",
            "telephone_number": "662-226-0325",
            "fax_number": "662-226-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "NURSE/OWNER",
        "authorized_official_telephone_number": "662-226-0325"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Rochelle Cashaw, RN
• Cesar Enrique Guerrero MD Faad PA (Grenada Dermatology)
• Blenda H Chambley, FNP
• Chaney's Pharmacy of Grenada, Inc. (Chaney's Home Infusion Vital Care)
• Chaneys Pharmacy of Grenada Inc (Dyre Kent Drug Co)
• Sherry B Chrestman, FNP-C
• CMHP Enterprises (Children's Dental Center)
• John Henry Coleman, D.M.D.
• Community Care Center of Grenada, LLC (Grenada Living Center)
• Anna Cooper

• Family Nurse Practitioner in Grenada, MS
• Providers in Grenada, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; 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.