Burrell Independent Contracting Service

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BURRELL INDEPENDENT CONTRACTING SERVICE

Practice address

1515 Munsford Dr
New Albany, MS 38652-7407

Phone

(662) 534-0046

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Mr. James Larry Burrell Jr., NPNPI 1215186028

Title

Owner

Phone

(662) 419-9150

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• James L Burrell Jr., CFNP

  • Family Nurse Practitioner
  • Belden, MS
  • NPI 1215186028
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1740916865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 OAK DR",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388631527",
            "telephone_number": "662-419-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MUNSFORD DR",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386527407",
            "telephone_number": "662-534-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURRELL INDEPENDENT CONTRACTING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "BURRELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-419-9150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03906898",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Chadwick Brown, PT
• Mika W Brown, PT
• Jackson Ryan Browning, MD
• Buchanan Chiropractic, LLC
• James Craig Bullock, MD
• Marlee Dawn Camp
• Sara Campbell, M.D.
• Susan Darlene Cappleman, DNP-CFNP
• Troy Reuben Cappleman, MD
• Kathryn Cavitt, PHARMD

• Assisted Living Facility in New Albany, MS
• Providers in New Albany, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.