Active NPI
Donna B Rice, LCSW
- Clinical Social Worker
- Pass Christian, MS
National Provider Identifier
1457404238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C7262
- Practice address
- 6859 Kiln Delisle Rd # 1
Pass Christian, MS 39571-9257 - Phone
- (228) 255-1827
- Fax
- (228) 255-1827
- NPI assigned
- Jan 18, 2007
- Last updated
- Jul 10, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C7262 | MS | Primary |
| Clinical Social Worker | 1041C0700X | LCS 19874 | CA |
Addresses
Primary practice location
6859 Kiln Delisle Rd # 1
Pass Christian, MS 39571-9257
Mailing address
701 E Scenic Dr
Pass Christian, MS 39571-4619
Phone (228) 255-1827
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09528860 | Medicaid | MS |
Other names 1
- Donna Baird Tuller
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 19874 | CA | MD | Clinical Social Worker |
| C7262 | MS | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nursing Home Psychological Services, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychologist
- Poplarville, MS
- NPI 1295952992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247184000000",
"number": "1457404238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E SCENIC DR",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395714619",
"telephone_number": "228-255-1827",
"fax_number": "228-255-1847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6859 KILN DELISLE RD # 1",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395719257",
"telephone_number": "228-255-1827",
"fax_number": "228-255-1827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICE",
"first_name": "DONNA",
"middle_name": "B",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2009-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C7262",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 19874",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09528860",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNA",
"last_name": "TULLER",
"middle_name": "BAIRD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pass Christian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.