Carol Annette Quain, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R871939 Issued in MS

Practice address

4381 S Eason Blvd Ste 202
Tupelo, MS 38801-6585

Phone

(662) 377-6609

Fax

(662) 377-6614

NPI assigned

Aug 27, 2012

Last updated

Mar 1, 2021By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  NPD
• Tupelo Plastic Surgery Clinic of Tupelo PA

  • Plastic Surgery Physician
  • Tupelo, MS
  • NPI 1649381104
  NPD (past)
• Linda Munro Psy D PA

  • Military Hospital
  • Robins AFB, GA
  • NPI 1689886137
  NPD (past)

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1437407368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 TIMBERLANE DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388010600",
            "telephone_number": "276-206-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 S EASON BLVD STE 202",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016585",
            "telephone_number": "662-377-6609",
            "fax_number": "662-377-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAIN",
        "first_name": "CAROL",
        "middle_name": "ANNETTE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2021-03-01",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R871939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shruthi Pulimamidi
• Alisha Pulliam, PCMHT
• Barbara Dale Pulse, FNP
• Jessica Lee Purvis, DO
• Shamsa Qaadri, MD, MPH
• Maureen Quinby, MSW, PCMHT
• Alejandro Jose Quiroz Alfaro, M.D.
• Harvey R. Rabinowitz, D.C.
• Radiation Oncology of North Mississippi PLLC
• Rita Testa Ragan, FNP-BC

• Family Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.