Individual provider Active NPI

Felicia Thompson-Outlaw, PASTOR FELICIA

  • Community Health Worker
  • Laurel, MS
National Provider Identifier
1760284533
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
601 N 15TH Ave
Laurel, MS 39440-3839
Phone
(601) 614-1476
NPI assigned
Mar 25, 2025
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X NU Primary

Addresses

Primary practice location

601 N 15TH Ave
Laurel, MS 39440-3839

Mailing address

PO Box 1064
Meridian, MS 39302-1064
Phone (601) 614-1476

Other practice location 1

3401 5th Street
Meridian, MS 39307-3930
Phone (601) 614-1476

Other practice location 2

1845 Ms-18
Quitman, MS 39355
Phone (601) 614-1476

Other names 1

  • Mrs. Felicia Outlaw Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1742860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1760284533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1064",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393021064",
            "telephone_number": "601-614-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 15TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403839",
            "telephone_number": "601-614-1476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 5th Street",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393073930",
            "country_code": "US",
            "telephone_number": "601-614-1476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1845 MS-18",
            "address_purpose": "LOCATION",
            "city": "Quitman",
            "state": "MS",
            "postal_code": "39355",
            "country_code": "US",
            "telephone_number": "601-614-1476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON-OUTLAW",
        "first_name": "FELICIA",
        "name_prefix": "Mrs.",
        "credential": "PASTOR FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "OUTLAW",
            "prefix": "MRS.",
            "credential": "CHAPLAIN, PASTOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 25, 2025; 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.