Organization Active NPI

Caring Hands Children's Clinic II, LLC

  • Primary Care Nurse Practitioner
  • Meadville, MS
National Provider Identifier
1639764020
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Mrs. Deontranese Taylor, NPNPI 1619211992
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.