Organization Active NPI

Rice Family Medical Clinic PA

  • Family Nurse Practitioner
  • Calhoun City, MS
National Provider Identifier
1750654703
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R857851 Issued in MS
Legal business name
RICE FAMILY MEDICAL CLINIC PA
Practice address
120 Burke Calhoun City Rd
Calhoun City, MS 38916-9690
Phone
(662) 628-5116
Fax
(662) 623-5117
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

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

Authorized official

Name
Mrs. Michelle R Rice, CFNP
Title
Owner/Nurse Practitioner
Phone
(662) 628-5116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X R857851 MS Primary

Addresses

Primary practice location

120 Burke Calhoun City Rd
Calhoun City, MS 38916-9690

Mailing address

120 Burke Calhoun City Rd
PO Box 1210
Calhoun City, MS 38916-9690
Phone (662) 628-5116

Other identifiers 2

IdentifierTypeStateIssuer
02072547MedicaidMS
1508995499OtherMSIND NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1750654703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 BURKE CALHOUN CITY RD",
            "address_2": "PO BOX 1210",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-5116",
            "fax_number": "662-628-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BURKE CALHOUN CITY RD",
            "city": "CALHOUN CITY",
            "state": "MS",
            "postal_code": "389169690",
            "telephone_number": "662-628-5116",
            "fax_number": "662-623-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE FAMILY MEDICAL CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "662-628-5116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02072547",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IND NPI",
            "identifier": "1508995499",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Calhoun City, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.