Individual provider Active NPI

Ladonna Aycock Dunn, CFNP

  • Family Nurse Practitioner
  • Brandon, MS
National Provider Identifier
1447358494
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R624055 Issued in MS
Practice address
762 Highway 468
Brandon, MS 39042-9058
Phone
(601) 824-0988
Fax
(601) 824-0987
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R624055 MS Primary

Addresses

Primary practice location

762 Highway 468
Brandon, MS 39042-9058

Mailing address

762 Highway 468
Brandon, MS 39042-9058
Phone (601) 824-0988

Other identifiers 1

IdentifierTypeStateIssuer
00120346MedicaidMS

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)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Garrett Healthcare LLC CurrentSince Apr 9, 2024 Accepting new patients

Locations

762 Highway 468
Brandon, MS 39042
Phone (601) 502-3574

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1447358494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "762 HIGHWAY 468",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390429058",
            "telephone_number": "601-824-0988",
            "fax_number": "601-824-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 HIGHWAY 468",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390429058",
            "telephone_number": "601-824-0988",
            "fax_number": "601-824-0987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "LADONNA",
        "middle_name": "AYCOCK",
        "name_prefix": "Mrs.",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R624055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00120346",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.