Poplarville Special Separate Municipal School District

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

R859077 Issued in MS

Legal business name

POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT

Practice address

304 W 11TH St.
Lumberton, MS 39455

Phone

(601) 796-8674

Fax

(601) 796-2167

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Louise Smith

Title

Support Staff Specialist

Phone

(601) 795-8477

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Poplarville Lower Elementary Epsdt Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Poplarville Special Separate Municipal School District

  • School Registered Nurse
  • Poplarville, MS
  • NPI 1740495373
  NPD tax ID

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871702035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 S JULIA ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394703017",
            "telephone_number": "601-795-8477",
            "fax_number": "601-403-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 11TH ST.",
            "city": "LUMBERTON",
            "state": "MS",
            "postal_code": "39455",
            "telephone_number": "601-796-8674",
            "fax_number": "601-796-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLARVILLE SPECIAL SEPARATE MUNICIPAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_title_or_position": "SUPPORT STAFF SPECIALIST",
        "authorized_official_telephone_number": "601-795-8477",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R859077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08229258",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lumberton Family Health Center
• Lumberton High School (Lumberton High School (9-12))
• Lumberton Public School District
• Moore Chiropractic Clinic Lumberton
• Perfect Choice Services LLC
• Nicholas Rutledge, MSW
• Southeast Mississippi Rural Health Initiative, Inc (Lumberton Middle School)
• St. Luke Missionary Hospice, LLC
• Patricia A Thompson, FNP-BC
• Robbie M Throop

• School Registered Nurse in Lumberton, MS
• Providers in Lumberton, MS by specialty
• School Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.