Gulfport School District

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R580708 Issued in MS

Legal business name

GULFPORT SCHOOL DISTRICT

Practice address

1526 Mills Ave
Gulfport, MS 39501-3618

Phone

(228) 865-1903

Fax

(228) 865-4701

NPI assigned

May 21, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Glen East

Title

Superintendent

Phone

(228) 865-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Bayou View Elementary3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gulfport School District

  • Local Education Agency (LEA)
  • Gulfport, MS
  • NPI 1538371711
  NPD tax ID
• Pass Road Elementary

  • School Registered Nurse
  • Gulfport, MS
  • NPI 1154543528
  NPD tax ID

Locations

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1467660407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PASS RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395014902",
            "telephone_number": "228-865-4600",
            "fax_number": "228-865-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 MILLS AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395013618",
            "telephone_number": "228-865-1903",
            "fax_number": "228-865-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFPORT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "EAST",
        "authorized_official_first_name": "GLEN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "228-865-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R580708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03325213",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gulfport Obstetrical & Gynecological Clinic, PA
• Gulfport Outpatient Anesthesia, P.a.
• Gulfport Outpatient Surgery Center
• Gulfport Precision Vision Inc
• Gulfport Premier ABA LLC
• Gulfport School District
• Gulfport Surgery Center, LLC
• Gulfport Surgery Clinic
• Gulfport Urgent Care Center LLC
• Gulfport Wellness Center Inc

• All providers in Gulfport, MS
• School Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.