NPIMap

Organization Active NPI

Micah's Walk for Autism

  • Early Intervention Provider Agency
  • Ridgeland, MS
National Provider Identifier
1700562287
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
MICAH'S WALK FOR AUTISM
Practice address
424 Shadowood Dr
Ridgeland, MS 39157-4155
Phone
(662) 263-6044
NPI assigned
Jun 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Authorized official

Name
Christe Tashay Ford McBride, LPN, B.S.H.A.NPI 1275226631
Title
Founder/President/Ceo
Phone
(662) 263-6044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Early Intervention Provider Agency 252Y00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

424 Shadowood Dr
Ridgeland, MS 39157-4155

Mailing address

424 Shadowood Dr
Ridgeland, MS 39157-4155
Phone (662) 263-6044

National Provider Directory

National Provider Directory
Tax ID family
Micah's Walk for Autism2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1700562287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 SHADOWOOD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574155",
            "telephone_number": "662-263-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SHADOWOOD DR",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574155",
            "telephone_number": "662-263-6044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH'S WALK FOR AUTISM",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "FORD MCBRIDE",
        "authorized_official_first_name": "CHRISTE",
        "authorized_official_middle_name": "TASHAY",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT/CEO",
        "authorized_official_telephone_number": "662-263-6044",
        "authorized_official_credential": "LPN, B.S.H.A."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.