Active NPI
Rice Family Medical Clinic PA
- Family Nurse Practitioner
- Calhoun City, MS
National Provider Identifier
1750654703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R857851
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02072547 | Medicaid | MS | |
| 1508995499 | Other | MS | IND NPI |
National Provider Directory
National Provider DirectoryNPI 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.