Nancy C Boatwright, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R637181 Issued in MS

Practice address

538 J M Ash Dr
Holly Springs, MS 38635-3238

Phone

(662) 333-6933

Fax

(662) 333-6931

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Alliance Healthcare System Inc

  dba Williams Medical Clinic

  • Rural Health Clinic/Center
  • Holly Springs, MS
  • NPI 1821143256
  Medicare reassignment NPD
• Alliance Healthcare System, Inc

  • Psychiatric Hospital
  • Holly Springs, MS
  • NPI 1912182197
  NPD
• TRM Endovascular & Wound Care Services LLC

  • Vascular & Interventional Radiology Physician
  • Southaven, MS
  • NPI 1629800412
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437230679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353238",
            "telephone_number": "662-252-1599",
            "fax_number": "662-252-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 J M ASH DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353238",
            "telephone_number": "662-333-6933",
            "fax_number": "662-333-6931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOATWRIGHT",
        "first_name": "NANCY",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R637181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• At Home Medical Supply of Holly Springs, LLC
• Bacas Interventional Pain Management, LLC
• Dewey Beard
• La'Kendra Bell, PHARMD, RPH
• Loren Blackmon
• Joyce Bowens
• Brittany Chaunte Boyland
• Meredith S Brown, CCC-SLP
• Robyn Black Caldwell, DNP, FNP-BC
• Latoya Calhoun

• Nurse Practitioner in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.