Individual provider Active NPI

Tarunaben Anand Patel, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Iuka, MS
National Provider Identifier
1346883162
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
905058 Issued in MS
Practice address
1213 Maria LN
Iuka, MS 38852-1135
Phone
(662) 423-3332
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 897761 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 905058 MS Primary

Addresses

Primary practice location

1213 Maria LN
Iuka, MS 38852-1135

Mailing address

2664 S Harper Rd
Corinth, MS 38834-6723
Phone (662) 287-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708002200 MS Practitioner - Nurse Practitioner 5496132425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 839
Corinth, MS 38835

PO Box
Suite 839
Corinth, MS 38835-0839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
897761MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Region IV Mental Health CurrentSince Apr 22, 2022 Accepting new patients
Region IV Mental Health Services Current Accepting new patients
Region IV Desoto County Pharmacy CurrentSince Apr 22, 2022 Accepting new patients

Locations

2100 E Chambers Dr
Booneville, MS 38829
Phone (662) 728-3137

2664 S Harper Rd
Corinth, MS 38834
Phone (662) 287-4055

601 Foote St
Corinth, MS 38834
Phone (662) 287-4424

1213 Maria Ln
Iuka, MS 38852
Phone (662) 423-3332

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.

NPI Registry JSON

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1346883162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 S HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346723",
            "telephone_number": "662-287-4055",
            "fax_number": "662-284-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 MARIA LN",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521135",
            "telephone_number": "662-423-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "TARUNABEN",
        "middle_name": "ANAND",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "897761",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.