NPIMap

Organization Active NPI

Grenada School District

  • Student Health Clinic/Center
  • Grenada, MS
National Provider Identifier
1881839801
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
R854440 Issued in MS
Legal business name
GRENADA SCHOOL DISTRICT
Practice address
28 Jones Rd
Grenada, MS 38901-5248
Phone
(662) 226-5135
Fax
(662) 226-5766
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Mrs. Kim D Holland, REGISTERED NURSE
Title
School Nurse
Phone
(662) 226-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X R854440 MS Primary

Addresses

Primary practice location

28 Jones Rd
Grenada, MS 38901-5248

Mailing address

28 Jones Rd
Grenada, MS 38901-5248
Phone (662) 226-5135

Other names 1

  • Grenada Middle School Other name

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.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1881839801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 JONES RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015248",
            "telephone_number": "662-226-5135",
            "fax_number": "662-226-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JONES RD",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389015248",
            "telephone_number": "662-226-5135",
            "fax_number": "662-226-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENADA SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SCHOOL NURSE",
        "authorized_official_telephone_number": "662-226-5135",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "MS",
            "license": "R854440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grenada Middle School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 4, 2008; 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.