Micah's Walk for Autism

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

MICAH'S WALK FOR AUTISM

Practice address

424 Shadowood Dr
Ridgeland, MS 39157-4155

Phone

(662) 263-6044

NPI assigned

Jun 1, 2023

Last updated

Jun 27, 2023By 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

Christe Tashay Ford McBride, LPN, B.S.H.ANPI 1275226631

Title

Founder/President/Ceo

Phone

(662) 263-6044

Specialties & licenses 1

Addresses

Tax ID family

Micah's Walk for Autism2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Micah's Walk for Autism

  • Early Intervention Provider Agency
  • Ridgeland, MS
  • NPI 1700562287
  NPD tax ID

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.

• Christe Tashay Ford McBride, LPN, B.S.H.A

  • Case Manager/Care Coordinator
  • Ridgeland, MS
  • NPI 1275226631
  NPD Authorized official

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

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1639862857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 SHADOWOOD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574155",
            "telephone_number": "662-263-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SHADOWOOD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574155",
            "telephone_number": "662-263-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH'S WALK FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "FORD MCBRIDE",
        "authorized_official_first_name": "CHRISTE",
        "authorized_official_middle_name": "TASHAY",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "662-263-6044",
        "authorized_official_credential": "LPN, B.S.H.A"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Heart Personal Care & Sitting, LLC
• Emily Mesmer
• Metelecare
• Metric Lab Services LLC
• Metro Anesthesia, PLLC
• Micah's Walk for Autism
• Michael Jordan Services, LLC (Michael Jordan Transportation Service)
• Mid South Rehab Outpatient Clinic LLC
• Mid South Rehab Services, Inc
• Midsouth Rehab Services Inc.

• Public Health or Welfare Agency in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Public Health or Welfare Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.