NPIMap

Organization Active NPI

Grenada School District

  • School Registered Nurse
  • Grenada, MS
National Provider Identifier
1881803682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
R665843 Issued in MS
Legal business name
GRENADA SCHOOL DISTRICT
Practice address
250 Pender Dr
Grenada, MS 38901-9312
Phone
(662) 226-8900
Fax
(662) 227-4497
NPI assigned
May 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Daigneault
Title
Superintendent
Phone
(662) 226-1606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X R665843 MS Primary

Addresses

Primary practice location

250 Pender Dr
Grenada, MS 38901-9312

Mailing address

P. O. Box 1940
Grenada, MS 38902-1940
Phone (662) 226-1606

Other identifiers 1

IdentifierTypeStateIssuer
09588848MedicaidMS

National Provider Directory

National Provider Directory
Tax ID family
Grenada School District4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

250 Pender Dr
Grenada, MS 38901
Phone (662) 226-8900

Practitioners & affiliated clinicians

Practitioners 1

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": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881803682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 1940",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389021940",
            "telephone_number": "662-226-1606",
            "fax_number": "662-226-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PENDER DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389019312",
            "telephone_number": "662-226-8900",
            "fax_number": "662-227-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAIGNEAULT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "662-226-1606",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "MS",
            "license": "R665843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09588848",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

  • 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.