NPIMap

Organization Active NPI

Caring Hands Family Practice, LLC

  • Primary Care Nurse Practitioner
  • Monticello, MS
National Provider Identifier
1861959256
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CARING HANDS FAMILY PRACTICE, LLC
Practice address
314 Main St Ste B
Monticello, MS 39654-3702
Phone
(601) 587-4304
Fax
(601) 587-4515
NPI assigned
Feb 21, 2019
Last updated
Feb 21, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Authorized official

Name
Mrs. Deontranese Treva Taylor, CFNPNPI 1619211992
Title
Owner
Phone
(601) 754-0772

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
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

314 Main St Ste B
Monticello, MS 39654-3702

Mailing address

PO Box 1400
Monticello, MS 39654-1400
Phone (601) 587-4304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190424002193 MS Part B Supplier - Clinic/Group Practice 8123360013 Receives reassigned benefits from 6 practitioners
Practice locations: Monticello, MS

National Provider Directory

National Provider Directory

Locations

149 Jefferson St S
Ste C
Monticello, MS 39654
Phone (601) 393-1953

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19473/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1861959256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396541400",
            "telephone_number": "601-587-4304",
            "fax_number": "601-587-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 MAIN ST STE B",
            "city": "MONTICELLO",
            "state": "MS",
            "postal_code": "396543702",
            "telephone_number": "601-587-4304",
            "fax_number": "601-587-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HANDS FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DEONTRANESE",
        "authorized_official_middle_name": "TREVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-754-0772",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.