Active NPI
Caring Hands Children's Clinic II, LLC
- Primary Care Nurse Practitioner
- Meadville, MS
National Provider Identifier
1639764020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- CARING HANDS CHILDREN'S CLINIC II, LLC
- Practice address
- 29 Second St.
Meadville, MS 39653-3965 - Phone
- (601) 587-4304
- Fax
- (601) 587-4515
- NPI assigned
- Mar 8, 2021
- Last updated
- Apr 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deontranese Taylor, NP
- Title
- Nurse Practitioner
- Phone
- (601) 754-0772
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
29 Second St.
Meadville, MS 39653-3965
Mailing address
PO Box 1400
Monticello, MS 39654-1400
Phone (601) 587-4304
National Provider Directory
National Provider DirectoryLocations
29 Second St W
Meadville, MS 39653
Phone (601) 587-4304
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Monticello, MS
- NPI 1619211992
-
- Pediatric Nurse Practitioner
- Meadville, MS
- NPI 1225499452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615161600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619481600000",
"number": "1639764020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1400",
"city": "MONTICELLO",
"state": "MS",
"postal_code": "396541400",
"telephone_number": "601-587-4304",
"fax_number": "601-587-4515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 SECOND ST.",
"city": "MEADVILLE",
"state": "MS",
"postal_code": "396533965",
"telephone_number": "601-587-4304",
"fax_number": "601-587-4515"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARING HANDS CHILDREN'S CLINIC II, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-08",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "DEONTRANESE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "601-754-0772",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.