Individual provider Active NPI

Stacia Marie Dunson, NP

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1689929366
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R878138 Issued in MS
Practice address
4814 Lakeland Dr
Flowood, MS 39232-8694
Phone
(601) 414-0730
Fax
(833) 382-0106
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R878138 MS Primary

Addresses

Primary practice location

4814 Lakeland Dr
Flowood, MS 39232-8694

Mailing address

4814 Lakeland Dr
Flowood, MS 39232-8694
Phone (601) 414-0730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20140220000564 MS Practitioner - Nurse Practitioner 6204066129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Harmony House Calls LLC 2 clinicians

Practice addresses (Care Compare)

4814 Lakeland Dr
Flowood, MS 39232-8694
Phone (601) 414-0730

Hospital & facility affiliations

  • St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R878138MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Belive Counseling LLC CurrentSince Oct 20, 2024 Accepting new patients
Holistic Health Past Accepting new patients

Locations

1084 Flynt Dr
Ste 421
Flowood, MS 39232
Phone (601) 420-0102

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1689929366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328694",
            "telephone_number": "601-414-0730",
            "fax_number": "833-382-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 LAKELAND DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328694",
            "telephone_number": "601-414-0730",
            "fax_number": "833-382-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNSON",
        "first_name": "STACIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R878138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.