Active NPI
Tawanda Nelson, R N
- Registered Nurse
- Gulfport, MS
National Provider Identifier
1497579668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 920685
- Practice address
- 15120 County Barn Rd
Gulfport, MS 39503-4263 - Phone
- (228) 213-5900
- Fax
- (228) 575-6295
- NPI assigned
- Nov 13, 2024
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 920685 | MS | Primary |
Addresses
Primary practice location
15120 County Barn Rd
Gulfport, MS 39503-4263
Mailing address
PO Box 18679
Hattiesburg, MS 39404-8679
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 920685 | MS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1497579668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18679",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394048679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15120 COUNTY BARN RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395034263",
"telephone_number": "228-213-5900",
"fax_number": "228-575-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "TAWANDA",
"credential": "R N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-13",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "920685",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.