Mississippi Band of Choctaw Indians

Primary specialty

Art TherapistTaxonomy code 221700000X

Legal business name

MISSISSIPPI BAND OF CHOCTAW INDIANS

Doing business as

Choctaw Health Center

Practice address

210 Hospital Cir
Choctaw, MS 39350-6781

Phone

(601) 389-4147

NPI assigned

Aug 23, 2024

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Alexis Nicole Pyawasit-Vaughn, P-LPATNPI 1144042623

Title

Expressive Art Specialist

Phone

(601) 389-4150

Specialties & licenses 1

Addresses

Other names 1

• Choctaw Health Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis Nicole Pyawasit-Vaughn, P-PLAT

  • Art Therapist
  • Choctaw, MS
  • NPI 1144042623
  NPD Authorized official

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1548093545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 HOSPITAL CIR",
            "city": "CHOCTAW",
            "state": "MS",
            "postal_code": "393506781",
            "telephone_number": "601-389-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HOSPITAL CIR",
            "city": "CHOCTAW",
            "state": "MS",
            "postal_code": "393506781",
            "telephone_number": "601-389-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI BAND OF CHOCTAW INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "PYAWASIT-VAUGHN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "EXPRESSIVE ART SPECIALIST",
        "authorized_official_telephone_number": "601-389-4150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P-LPAT"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choctaw Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Louise Miller, RN, CPNP
• Mississippi Band of Choctaw Indians (Choctaw Health Center Dental)
• Mississippi Band of Choctaw Indians (Choctaw Health Center Optometry)
• Mississippi Band of Choctaw Indians (Choctaw Residential Center Enterprise)
• Mississippi Band of Choctaw Indians (Choctaw Health Center Physicians)
• Mississippi Band of Choctaw Indians (Choctaw Health Center Ambulance)
• Mississippi Band of Choctaw Indians (Choctaw Health Center)
• Mississippi Band of Choctaw Indians (Choctaw Residential Center Physicians)
• Abby Montgomery, PHARMD
• Jessica W Mooney, PHARMACIST

• Art Therapist in Choctaw, MS
• Providers in Choctaw, MS by specialty
• Art Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.

Verify at the official NPI Registry.