Active NPI
Delilah Pollan, FNP
- Nurse Practitioner
- Batesville, MS
National Provider Identifier
1801088653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R568325
- Practice address
- 1083 Mallard Point Rd
Batesville, MS 38606-3976 - Phone
- (662) 902-1924
- Fax
- (662) 563-1039
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R568325 | MS | Primary |
Addresses
Primary practice location
1083 Mallard Point Rd
Batesville, MS 38606-3976
Mailing address
777 Isle of Capri Pkwy
Capri Wellness Clinic
Lula, MS 38644
Phone (662) 902-1924
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121490 | Medicaid | MS |
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Emergency Services P C | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Athens, TN
- NPI 1669414264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187136000000",
"number": "1801088653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 ISLE OF CAPRI PKWY",
"address_2": "CAPRI WELLNESS CLINIC",
"city": "LULA",
"state": "MS",
"postal_code": "38644",
"telephone_number": "662-902-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1083 MALLARD POINT RD",
"city": "BATESVILLE",
"state": "MS",
"postal_code": "386063976",
"telephone_number": "662-902-1924",
"fax_number": "662-563-1039"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLAN",
"first_name": "DELILAH",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2007-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "R568325",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0121490",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Batesville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.