Active NPI
Kathi Elaine Nunnemaker, LCSW, C.AD
- Clinical Social Worker
- Pachuta, MS
National Provider Identifier
1831205087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2767-C
- Practice address
- 131 County Road 22
Pachuta, MS 39347-5043 - Phone
- (601) 727-2213
- NPI assigned
- Aug 21, 2006
- Last updated
- Mar 24, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2767-C | NV | Primary |
| Clinical Social Worker | 1041C0700X | C7401 | MS |
Addresses
Primary practice location
131 County Road 22
Pachuta, MS 39347-5043
Mailing address
131 County Road 22
Pachuta, MS 39347-5043
Phone (601) 727-2213
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2767-C | NV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Meridian, MS
- NPI 1720173974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237852800000",
"number": "1831205087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 COUNTY ROAD 22",
"city": "PACHUTA",
"state": "MS",
"postal_code": "393475043",
"telephone_number": "601-727-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 COUNTY ROAD 22",
"city": "PACHUTA",
"state": "MS",
"postal_code": "393475043",
"telephone_number": "601-727-2213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNNEMAKER",
"first_name": "KATHI",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "LCSW, C.AD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2009-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "2767-C",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C7401",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pachuta, MS
- Emory James Crawford, LPC
- Elitecare Healthservices LLC
- Richard Allen Guy
- Hattiesburg Clinic, P.a. (Pachuta Dialysis Unit)
- Anita Mathews Lee, LPC, NBCC, NBSC
- Slide Free, LLC
- Daniel Edward Smith Jr., M.D.
- Rachel Sterling
- Pamela Marie Sumrall, OTR/L
- Top Notch Nurses LLC (Top Notch Training and Recruitment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.