Active NPI
Webster Family Practice
- Family Nurse Practitioner
- Mathiston, MS
National Provider Identifier
1699236497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- WEBSTER FAMILY PRACTICE
- Doing business as
- Webster Family Practice
- Practice address
- 24849 Ms Highway 15
Mathiston, MS 39752-6900 - Phone
- (662) 634-3089
- Fax
- (662) 634-3063
- NPI assigned
- Mar 26, 2019
- Last updated
- May 19, 2021
- Organization subpart
- Yes
- Parent organization
- WEBSTER URGENT CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chad Garnett
- Title
- Manager
- Phone
- (662) 634-3089
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
24849 Ms Highway 15
Mathiston, MS 39752-6900
Mailing address
PO Box 190
Mathiston, MS 39752-0190
Phone (662) 634-3089
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1122955 | Other | MS | FICTITIOUS NAME |
Other names 1
- Webster Family Practice
National Provider Directory
National Provider Directory- Tax ID family
- Webster Family Practice
- Part of
- Webster Family Practice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Webster Urgent Care, Houston
- Urgent Care Clinic/Center
- Houston, MS
- NPI 1871169680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621382400000",
"number": "1699236497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "MATHISTON",
"state": "MS",
"postal_code": "397520190",
"telephone_number": "662-634-3089",
"fax_number": "662-634-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24849 MS HIGHWAY 15",
"city": "MATHISTON",
"state": "MS",
"postal_code": "397526900",
"telephone_number": "662-634-3089",
"fax_number": "662-634-3063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER FAMILY PRACTICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEBSTER URGENT CARE LLC",
"enumeration_date": "2019-03-26",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A",
"authorized_official_last_name": "GARNETT",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "662-634-3089",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FICTITIOUS NAME",
"identifier": "1122955",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Webster Family Practice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mathiston, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.