Individual provider Active NPI

Tabitha Harper, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1801375894
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902853 Issued in MS
Practice address
3514 Highway 39 N Ste a&B
Meridian, MS 39301-1305
Phone
(601) 512-1310
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902853 MS Primary

Addresses

Primary practice location

3514 Highway 39 N Ste a&B
Meridian, MS 39301-1305

Mailing address

PO Box 480
Corinth, MS 38835-0480
Phone (601) 512-1310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190308000119 MS Practitioner - Nurse Practitioner 9537408554 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Innergy Counseling Services LLCGroup PAC ID 6204298367, 11 clinicians

Practice addresses (Care Compare)

1205 22ND Ave
Meridian, MS 39301-4010
Phone (601) 453-5734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902853MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Positive Innergy Counseling Services, LLC CurrentSince Aug 1, 2023 Accepting new patients
The Chadwick Clinic LLC CurrentSince May 24, 2022 Accepting new patients
Intouch Psychological Services LLC CurrentSince Feb 22, 2017 Accepting new patients

Locations

1205 22nd Ave
Meridian, MS 39301
Phone (601) 453-5734

3514 Highway 39 N
Ste Ab
Meridian, MS 39301
Phone (601) 512-1310

2502 9th St
Meridian, MS 39301
Phone (601) 512-0927

1120 E Main St
Ste 24
Philadelphia, MS 39350
Phone (601) 781-8677

609 Brunson Dr
Tupelo, MS 38801
Phone (601) 844-7021

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26357/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1801375894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388350480",
            "telephone_number": "601-512-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3514 HIGHWAY 39 N STE A&B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011305",
            "telephone_number": "601-512-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "TABITHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.