NPIMap

Organization Active NPI

West Union Clinic

  • Registered Nurse
  • Myrtle, MS
National Provider Identifier
1679786073
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R860041 Issued in MS
Legal business name
WEST UNION CLINIC
Practice address
1561 Hwy 30 West
Myrtle, MS 38650
Phone
(662) 534-0033
Fax
(662) 539-0039
NPI assigned
May 8, 2007
Last updated
Aug 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
April Robbins, FNPNPI 1669464863
Title
Owner
Phone
(662) 534-0033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R860041 MS Primary

Addresses

Primary practice location

1561 Hwy 30 West
Myrtle, MS 38650

Mailing address

1561 Hwy 30 West
Myrtle, MS 38650
Phone (662) 534-0033

Other identifiers 3

IdentifierTypeStateIssuer
03156350MedicaidMS
06021701MedicaidMS
428614032AOtherMSBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1679786073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 HWY 30 WEST",
            "city": "MYRTLE",
            "state": "MS",
            "postal_code": "38650",
            "telephone_number": "662-534-0033",
            "fax_number": "662-539-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 HWY 30 WEST",
            "city": "MYRTLE",
            "state": "MS",
            "postal_code": "38650",
            "telephone_number": "662-534-0033",
            "fax_number": "662-539-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST UNION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-534-0033",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "R860041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03156350",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06021701",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "428614032A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.