Petal School District

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R510955 Issued in MS

Legal business name

PETAL SCHOOL DISTRICT

Practice address

115 Highway 42
Petal, MS 39465-2808

Phone

(601) 545-3002

NPI assigned

Feb 11, 2008

Last updated

Feb 11, 2008By 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

James Hutto

Title

Superintendent

Phone

(601) 545-3002

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Petal School District3 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.

• Petal School District

  • Registered Nurse
  • Petal, MS
  • NPI 1356563605
  NPD tax ID
• Petal School District

  • School Registered Nurse
  • Petal, MS
  • NPI 1700036928
  NPD tax ID

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1306014592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 523",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394650523",
            "telephone_number": "601-545-3002",
            "fax_number": "601-583-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HIGHWAY 42",
            "city": "PETAL",
            "state": "MS",
            "postal_code": "394652808",
            "telephone_number": "601-545-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "HUTTO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "601-545-3002"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R510955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01606558",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Petal Family Dentistry
• Petal High School
• Petal Middle School
• Petal Primary School
• Petal School Clinic
• Petal School District
• Petal School District
• Petal Upper Elementary School
• Petal Urgent Care LLC
• Pine Belt Dermatology and Skin Cancer Center

• School Registered Nurse in Petal, MS
• Providers in Petal, MS by specialty
• School Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.