Active NPI
Felicia Thompson-Outlaw, PASTOR FELICIA
- Community Health Worker
- Laurel, MS
National Provider Identifier
1760284533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 601 N 15TH Ave
Laurel, MS 39440-3839 - Phone
- (601) 614-1476
- NPI assigned
- Mar 25, 2025
- Last updated
- Mar 25, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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.