Active NPI
Erica Caples Witcher, RD
- Registered Dietitian
- Tupelo, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1390
- Practice address
- 845 S Madison St
Tupelo, MS 38801-4905 - Phone
- (662) 377-5930
- Fax
- (662) 377-5071
- NPI assigned
- Jan 10, 2013
- Last updated
- Feb 21, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D1390 | MS | Primary |
Addresses
Primary practice location
845 S Madison St
Tupelo, MS 38801-4905
Mailing address
845 S Madison St
Tupelo, MS 38801-4905
Phone (662) 377-5930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C02394 | Other | MS | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5681 Hwy 363
Mantachie, MS 38855-7632
Phone (662) 282-4226
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mantachie Rural Health Care, Inc | Current | Accepting new patients | |
| Mantachie Rural Health Care, Inc | Current | Accepting new patients | |
| Mantachie Rural Health Care, Inc | Past | Accepting new patients |
Locations
5681 Highway 363
Mantachie, MS 38855
Phone (662) 255-1567
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IIBHBA
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.
-
dba Mantachie Clinic
- Family Medicine Physician
- Mantachie, MS
- NPI 1033169545
-
dba Dorsey Family Medical Center
- Federally Qualified Health Center (FQHC)
- Fulton, MS
- NPI 1508652330
-
dba Mantachie Rural Health Care, Inc. Dorsey School
- Federally Qualified Health Center (FQHC)
- Fulton, MS
- NPI 1447031943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1407193410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "845 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014905",
"telephone_number": "662-377-5930",
"fax_number": "662-377-5071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S MADISON ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388014905",
"telephone_number": "662-377-5930",
"fax_number": "662-377-5071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WITCHER",
"first_name": "ERICA",
"middle_name": "CAPLES",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "C02394",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.