Laurie Cabral, CFNP
Individual provider Active NPI Family Nurse Practitioner · Poplarville, MS
NPI 1477560878 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1477560878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R716413 (MS)
- Practice address
- 1222 S Main St
Poplarville, MS 39470-3318 - Phone
- (601) 795-9320
- Fax
- (601) 795-9876
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090507000541 | MS | Practitioner - Nurse Practitioner | 9537217245 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Family Health Center, Inc | Current |
Accepting new patients | |
| Coastal Family Health Center, Inc | Current | Accepting new patients | |
| Coastal Family Health Center, Inc. | Current |
Accepting new patients | |
| Mississippi PHS PC | Past | Accepting new patients | |
| Stone County Hospital, Inc. | Past | Accepting new patients | |
| Stone County Hospital, Inc | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R716413 | MS | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500027732 | Other | RAILROAD MEDICARE | |
| 00123695 | Medicaid | MS | |
| 640507572RV | Other | MS | AMERICAN ADMIN GROUP |
Other providers in Poplarville, MS
- Boones Pharmacy Inc
- Stephanie Kay Bounds
- Bright Steps Therapy LLC
- William J Brown
- Bruno Counseling and Consulting Services, LLC
- Marlee Cameron
- Martin Wayne Carr
- Children'S International, LLC
- Merrie Kathleen Christmas
- Payton Engel Clinton
All providers in Poplarville, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.