Individual provider Active NPI

Laurie Cabral, CFNP

  • Family Nurse Practitioner
  • Poplarville, MS
National Provider Identifier
1477560878
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R716413 Issued in MS
Practice address
1222 S Main St
Poplarville, MS 39470-3318
Phone
(601) 795-9320
Fax
(601) 795-9876
NPI assigned
Aug 1, 2006
Last updated
Sep 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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 R716413 MS Primary

Addresses

Primary practice location

1222 S Main St
Poplarville, MS 39470-3318

Mailing address

1434 Central Ave E
Wiggins, MS 39577-9602
Phone (601) 928-6600

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090507000541 MS Practitioner - Nurse Practitioner 9537217245 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc. CurrentSince Mar 16, 2013 Accepting new patients
Coastal Family Health Center, Inc CurrentSince Mar 16, 2013 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Stone County Hospital, Inc Past Accepting new patients
Stone County Hospital, Inc. Past Accepting new patients
Mississippi PHS PC Past Accepting new patients

Locations

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

4770 Amoco Dr
Moss Point, MS 39563
Phone (228) 474-9511

10828 Highway 57
Vancleave, MS 39565
Phone (228) 826-4711

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222646400000",
    "number": "1477560878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 CENTRAL AVE E",
            "city": "WIGGINS",
            "state": "MS",
            "postal_code": "395779602",
            "telephone_number": "601-928-6600",
            "fax_number": "601-928-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703318",
            "telephone_number": "601-795-9320",
            "fax_number": "601-795-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRAL",
        "first_name": "LAURIE",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R716413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

Verify at the official NPI Registry.