Children's Acceleration Program, Inc.

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R125740 Issued in MS

Legal business name

CHILDREN'S ACCELERATION PROGRAM, INC.

Practice address

216 N Chrisman Ave
Cleveland, MS 38732-2730

Phone

(662) 846-6306

Fax

(662) 846-9069

NPI assigned

Feb 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

Doris Mitchell, N.P.

Title

Director

Phone

(662) 846-6306

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Children's Acceleration Program Inc2 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.

• Children's Acceleration Program, Inc

  • Pediatric Nurse Practitioner
  • Clarksdale, MS
  • NPI 1093865933
  NPD tax ID

Locations

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912032830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1382",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321382",
            "telephone_number": "662-846-6306",
            "fax_number": "662-846-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N CHRISMAN AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322730",
            "telephone_number": "662-846-6306",
            "fax_number": "662-846-9069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S ACCELERATION PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "662-846-6306",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "R125740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00009266",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jemecia N. Calvin, MS, LPC, NCC
• Ruth Avegail Ragadio Capapas
• Charles W. Capps III, FNP
• Cardiovascular Solutions of Central Ms PA
• John A Carr, MD
• Children's Dental Clinic
• Cole Clark
• Michael Stuart Clark I
• Steven Glenn Clark, M.D
• Cleveland Cardiology PLLC

• Pediatric Nurse Practitioner in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Pediatric Nurse Practitioner 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.