Individual provider Active NPI

Maria Katherine Townsend, FNP

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1922615293
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903848 Issued in MS
Practice address
4728 Highway 39 N
Meridian, MS 39301-1015
Phone
(731) 394-1145
Fax
(844) 374-0233
NPI assigned
Sep 30, 2020
Last updated
Aug 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903848 MS Primary

Addresses

Primary practice location

4728 Highway 39 N
Meridian, MS 39301-1015

Mailing address

36 Pemberton CV
Jackson, TN 38305-5514
Phone (731) 394-1145

Other identifiers 1

IdentifierTypeStateIssuer
903848OtherMSNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007003270 MS Practitioner - Nurse Practitioner 8123447398 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Systems Management, LLCGroup PAC ID 5092964643, 49 clinicians

Practice addresses (Care Compare)

129 Ctr St
Suite B
Richland, MS 39218-4800
Phone (769) 233-7141

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
903848MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Systems Management LLC CurrentSince Jan 9, 2023 Accepting new patients
Ap Med L L C Family CurrentSince Jan 10, 2023 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Aug 16, 2021 Accepting new patients
Strategic Solutions-Panola Medical Center LLC CurrentSince Aug 16, 2021 Accepting new patients
Joyce D Wade Pulmonary & Sleep Specialist PastSince Oct 1, 2020 Accepting new patients
Apex Prime Health Solutions LLC Past Accepting new patients

Locations

303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155

255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163

670 Weathersby Rd
Ste 140
Hattiesburg, MS 39402
Phone (601) 318-0669

309 Magnolia Dr
Raleigh, MS 39153
Phone (601) 543-8772

129 Center St
Ste B
Richland, MS 39218
Phone (769) 233-7141

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1922615293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 PEMBERTON CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383055514",
            "telephone_number": "731-394-1145",
            "fax_number": "844-374-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4728 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011015",
            "telephone_number": "731-394-1145",
            "fax_number": "844-374-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "MARIA",
        "middle_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "903848",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.