Ultimate Care Medical Clinic Professional Corporation

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ULTIMATE CARE MEDICAL CLINIC PROFESSIONAL CORPORATION

Practice address

900 Stark Rd
Starkville, MS 39759-3613

Phone

(662) 694-2420

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Rushaunda Nash, FNPNPI 1548643380

Title

Owner

Phone

(662) 694-2420

Specialties & licenses 2

Addresses

Other names 1

• Ultimate Care Medical Clinic Other name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• Rushaunda Nash, FNP

  • Family Nurse Practitioner
  • Ackerman, MS
  • NPI 1548643380
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678233600000",
    "number": "1801528591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 STARK RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593613",
            "telephone_number": "662-694-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STARK RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593613",
            "telephone_number": "662-694-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE CARE MEDICAL CLINIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "RUSHAUNDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-694-2420",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Care Medical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jerry Dwight Turner, D. D. S.
• John Turner, MD
• Twyla J Turner, MS
• Krystal Tyler, LCSW
• Gwen Dale Tyson, MS, LPC, NCC
• Unity Wound Services
• University City Urgent Care Clinic Inc
• Michael J Valentine, PHD, LPC, BC-TMH
• Taylor Alexa Vandyk, MS, RDN, LD, CHES
• Kristin Faith Venarske, MS, RD LDN

• Family Nurse Practitioner in Starkville, MS
• Providers in Starkville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.