Active NPI
Rasheda Purnell, DC
- Chiropractor
- Hattiesburg, MS
National Provider Identifier
1366274276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1400
- Practice address
- 2737 Oak Grove Rd
Hattiesburg, MS 39402-8946 - Phone
- (601) 749-4939
- Fax
- (769) 301-1641
- NPI assigned
- Aug 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1400 | MS | Primary |
Addresses
Primary practice location
2737 Oak Grove Rd
Hattiesburg, MS 39402-8946
Mailing address
PO Box 326
Picayune, MS 39466-0326
Phone (601) 749-4939
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 326
Picayune, MS 39466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1400 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moore Chiropractic Clinic Hattiesburg PLLC | Chiropractor | Current | Accepting new patients |
Locations
2737 Oak Grove Rd
Hattiesburg, MS 39402
Phone (601) 336-7253
Organizations & group practices 1
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.
-
- Chiropractor
- Hattiesburg, MS
- NPI 1750945390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1366274276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 326",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394660326",
"telephone_number": "601-749-4939",
"fax_number": "769-301-1641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 OAK GROVE RD",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028946",
"telephone_number": "601-749-4939",
"fax_number": "769-301-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURNELL",
"first_name": "RASHEDA",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-19",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.