NPIMap

Organization Active NPI

Imani Community Outreach Center

  • Occupational Therapist
  • Kosciusko, MS
National Provider Identifier
1477829182
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
IMANI COMMUNITY OUTREACH CENTER
Practice address
301 E Jefferson St
Kosciusko, MS 39090-3719
Phone
(662) 289-7676
NPI assigned
Mar 27, 2012
Last updated
Mar 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Authorized official

Name
Tricia Duncan
Title
Biller
Phone
(601) 878-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X MS Primary

Addresses

Primary practice location

301 E Jefferson St
Kosciusko, MS 39090-3719

Mailing address

301 E Jefferson St
Kosciusko, MS 39090-3719
Phone (662) 289-7676

National Provider Directory

National Provider Directory
Tax ID family
Imani Community Outreach Center12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1477829182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E JEFFERSON ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903719",
            "telephone_number": "662-289-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E JEFFERSON ST",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903719",
            "telephone_number": "662-289-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI COMMUNITY OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "601-878-6945"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kosciusko, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.