Organization Active NPI

Jones County School District

  • School Registered Nurse
  • Laurel, MS
National Provider Identifier
1700095148
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R872610 Issued in MS
Legal business name
JONES COUNTY SCHOOL DISTRICT
Practice address
108 Northeast Dr
Laurel, MS 39443-8315
Phone
(601) 425-9799
Fax
(601) 425-9118
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Authorized official

Name
Mr. Thomas C Prine
Title
Superintendent of Education
Phone
(601) 649-5201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WS0200X R872610 MS Primary

Addresses

Primary practice location

108 Northeast Dr
Laurel, MS 39443-8315

Mailing address

5204 Highway 11 N
Ellisville, MS 39437-5072
Phone (601) 649-5201

Other identifiers 1

IdentifierTypeStateIssuer
06282236MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Glade Elementary School2 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.

Locations

5204 Highway 11 N
Ellisville, MS 39437

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1700095148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 HIGHWAY 11 N",
            "city": "ELLISVILLE",
            "state": "MS",
            "postal_code": "394375072",
            "telephone_number": "601-649-5201",
            "fax_number": "601-649-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 NORTHEAST DR",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394438315",
            "telephone_number": "601-425-9799",
            "fax_number": "601-425-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES COUNTY SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "PRINE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SUPERINTENDENT OF EDUCATION",
        "authorized_official_telephone_number": "601-649-5201",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R872610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06282236",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.