Active NPI
Joan Crawford Speed, APMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, MS
National Provider Identifier
1285997759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R852226
- Practice address
- 1818 College Drive
Meridian, MS 39307-5429 - Phone
- (601) 581-8454
- NPI assigned
- Jun 20, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R852226 | MS | Primary |
Addresses
Primary practice location
1818 College Drive
Meridian, MS 39307-5429
Mailing address
PO Box 4128
Meridian, MS 39304-4128
Phone (601) 581-8454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00904389 | Medicaid | MS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1285997759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4128",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393044128",
"telephone_number": "601-581-8454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 COLLEGE DRIVE",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393075429",
"telephone_number": "601-581-8454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEED",
"first_name": "JOAN",
"middle_name": "CRAWFORD",
"credential": "APMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-20",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "R852226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00904389",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.