Nisha Bhakta

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

903573 Issued in MS

Practice address

1257 Highway 61 S
Hollandale, MS 38748-3864

Phone

(662) 827-2214

Fax

(662) 827-2215

NPI assigned

Oct 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, KY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19142/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unified Family Care

  • Primary Care Clinic/Center
  • Greenville, MS
  • NPI 1871443762

  MS

  Medicare reassignment NPD Authorized official
• Community Care Health Network LLC

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  KY, MS, Nurse Practitioner

  Medicare reassignment NPD
• Healthy Living Family Medical Center LLC

  • Rural Health Clinic/Center
  • Gunnision, MS
  • NPI 1154845840
  NPD

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1669015764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 E HIGHWAY 82",
            "city": "LAKE VILLAGE",
            "state": "AR",
            "postal_code": "716536070",
            "telephone_number": "662-378-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1257 HIGHWAY 61 S",
            "city": "HOLLANDALE",
            "state": "MS",
            "postal_code": "387483864",
            "telephone_number": "662-827-2214",
            "fax_number": "662-827-2215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Gunnison",
            "state": "MS",
            "postal_code": "387462200",
            "country_code": "US",
            "telephone_number": "662-987-5023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BHAKTA",
        "first_name": "NISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarke Monet Allen, DDS
• Ashley Barnett, ASHLEY BARNETT CPT
• Katrina Barney
• Stanley Berry
• Laloni Schmitz Bradberry, COTA
• Christ Anointing Hands
• City Drug Store,Inc
• Community Health Needs, Inc.
• Coping Center Inc

• All providers in Hollandale, MS
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.