Organization Active NPI

Junie Buggie Pedatric Healthcare

  • Nursing Care Agency
  • Brandon, MS
National Provider Identifier
1801240031
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
JUNIE BUGGIE PEDATRIC HEALTHCARE
Practice address
171 Dogwood Cir
Brandon, MS 39047-6641
Phone
(601) 813-1045
Fax
(601) 398-3911
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Jacklen HarperNPI 1235584723
Title
Manger
Phone
(601) 813-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

171 Dogwood Cir
Brandon, MS 39047-6641

Mailing address

171 Dogwood Cir
Brandon, MS 39047-6641
Phone (601) 813-1045

Other identifiers 1

IdentifierTypeStateIssuer
160407001MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1801240031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 DOGWOOD CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476641",
            "telephone_number": "601-813-1045",
            "fax_number": "601-398-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 DOGWOOD CIR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390476641",
            "telephone_number": "601-813-1045",
            "fax_number": "601-398-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIE BUGGIE PEDATRIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "JACKLEN",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "601-813-1045"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160407001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.