Active NPI
Valerie Harden
- Durable Medical Equipment & Medical Supplies
- Ridgeland, MS
National Provider Identifier
1407104391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 05864/11.1
- Practice address
- 625 S Pear Orchard Rd
Ridgeland, MS 39157-4836 - Phone
- (601) 420-0064
- NPI assigned
- Aug 27, 2012
- Last updated
- Oct 28, 2022
- 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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 05864/11.1 | MS | Primary |
Addresses
Primary practice location
625 S Pear Orchard Rd
Ridgeland, MS 39157-4836
Mailing address
625 S Pear Orchard Rd
Ridgeland, MS 39157-4836
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000440861 | Medicaid | MS | |
| 00440861 | 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)
- Not enrolled
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Ridgeland, MS
- NPI 1104201789
-
dba Health Care Medical
- Oxygen Equipment & Supplies (DME)
- Columbus, MS
- NPI 1447324173
-
dba Health Care Medical
- Parenteral & Enteral Nutrition Supplies (DME)
- Ridgeland, MS
- NPI 1811060544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1407104391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S PEAR ORCHARD RD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S PEAR ORCHARD RD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574836",
"telephone_number": "601-420-0064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDEN",
"first_name": "VALERIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "05864/11.1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000440861",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440861",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.