Active NPI
Norris Doss, NP
- Family Nurse Practitioner
- Shannon, MS
National Provider Identifier
1487834818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R819576
- Practice address
- 219 Broad St
Shannon, MS 38868-9301 - Phone
- (662) 995-2201
- Fax
- (662) 995-2202
- NPI assigned
- Nov 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R819576 | MS | Primary |
Addresses
Primary practice location
219 Broad St
Shannon, MS 38868-9301
Mailing address
219 Broad St
Shannon, MS 38868-9301
Phone (662) 995-2201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00126281 | Medicaid | MS |
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
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359936000000",
"number": "1487834818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 BROAD ST",
"city": "SHANNON",
"state": "MS",
"postal_code": "388689301",
"telephone_number": "662-995-2201",
"fax_number": "662-995-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 BROAD ST",
"city": "SHANNON",
"state": "MS",
"postal_code": "388689301",
"telephone_number": "662-995-2201",
"fax_number": "662-995-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOSS",
"first_name": "NORRIS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-14",
"last_updated": "2013-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R819576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00126281",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shannon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.