NPIMap

Organization Active NPI

Grenada School District

  • School Registered Nurse
  • Grenada, MS
National Provider Identifier
1568763373
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R854440 Issued in MS
Legal business name
GRENADA SCHOOL DISTRICT
Practice address
28 Jones Rd
Grenada, MS 38901-5248
Phone
(662) 226-5135
Fax
(662) 227-6106
NPI assigned
Nov 10, 2010
Last updated
Nov 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. David J Daigneault, EDD
Title
Superintendents
Phone
(662) 226-1606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R854440 MS Primary

Addresses

Primary practice location

28 Jones Rd
Grenada, MS 38901-5248

Mailing address

PO Box 1940
Grenada, MS 38902-1940
Phone (662) 226-1606

Other identifiers 1

IdentifierTypeStateIssuer
05002268MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Grenada School District4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1568763373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1940",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021940",
            "telephone_number": "662-226-1606",
            "fax_number": "662-226-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JONES RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015248",
            "telephone_number": "662-226-5135",
            "fax_number": "662-227-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SUPERINTENDENTS",
        "authorized_official_telephone_number": "662-226-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R854440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05002268",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.