Active NPI
Reta Virginia Lumpkin, CFNP
- Family Nurse Practitioner
- Picayune, MS
National Provider Identifier
1285705822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R599646
- Practice address
- 3300 Highway 11 North Suite C
Picayune, MS 39466 - Phone
- (601) 799-3305
- Fax
- (601) 799-3481
- NPI assigned
- Nov 13, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R599646 | MS | Primary |
Addresses
Primary practice location
3300 Highway 11 North Suite C
Picayune, MS 39466
Mailing address
3300 Highway 11 North Suite C
Picayune, MS 39466
Phone (601) 799-3305
Other names 1
- Reta V Ladner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R599646 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gulf Coast Internal Medicine PLLC | Past | Accepting new patients | |
| Forrest County General Hospital | Past | Accepting new patients | |
| DCS Instant Care Clinic Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Picayune, MS
- NPI 1508175738
-
- Critical Access Hospital
- Poplarville, MS
- NPI 1003026717
-
- Internal Medicine Physician
- Biloxi, MS
- NPI 1164450359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321401600000",
"number": "1285705822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 HIGHWAY 11 NORTH SUITE C",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "39466",
"telephone_number": "601-799-3305",
"fax_number": "601-799-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 HIGHWAY 11 NORTH SUITE C",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "39466",
"telephone_number": "601-799-3305",
"fax_number": "601-799-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMPKIN",
"first_name": "RETA",
"middle_name": "VIRGINIA",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2011-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R599646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RETA",
"last_name": "LADNER",
"middle_name": "V",
"credential": "CFNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.