NPIMap

Organization Active NPI

Tallahatchie General Hospital Medical Foundation

  • Registered Dietitian
  • Charleston, MS
National Provider Identifier
1568040517
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
TALLAHATCHIE GENERAL HOSPITAL MEDICAL FOUNDATION
Doing business as
Tallahatchie General Hospital Medical Foundation
Practice address
188 Honeysuckle Drive
Charleston, MS 38921
Phone
(501) 276-5459
Fax
(662) 625-3024
NPI assigned
Mar 31, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Dr. Catherine Dane Moring, PHD RDN CDCES BCADMNPI 1679124713
Title
Executive Director
Phone
(501) 276-5459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary
Diabetes Educator Registered Nurse 163WD0400X NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU

Addresses

Primary practice location

188 Honeysuckle Drive
Charleston, MS 38921

Mailing address

188 Honeysuckle Drive
Charleston, MS 38921
Phone (501) 276-5459

Other names 1

  • Tallahatchie General Hospital Medical Foundation Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1568040517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 HONEYSUCKLE DRIVE",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "501-276-5459",
            "fax_number": "662-625-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 HONEYSUCKLE DRIVE",
            "city": "CHARLESTON",
            "state": "MS",
            "postal_code": "38921",
            "telephone_number": "501-276-5459",
            "fax_number": "662-625-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHATCHIE GENERAL HOSPITAL MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "MORING",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "501-276-5459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD RDN CDCES BCADM"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahatchie General Hospital Medical Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.