Above Average Healthcare

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

P316588 Issued in MS

Legal business name

ABOVE AVERAGE HEALTHCARE

Practice address

1280 Old Jackson Rd
Terry, MS 39170-7287

Phone

(601) 594-7086

Fax

(601) 878-5711

NPI assigned

Jan 25, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Alicia Winston Gaylor, LPN

Title

LPN/ Owner

Phone

(601) 594-7086

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1932470747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 OLD JACKSON RD",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391707287",
            "telephone_number": "601-594-7086",
            "fax_number": "601-878-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 OLD JACKSON RD",
            "city": "TERRY",
            "state": "MS",
            "postal_code": "391707287",
            "telephone_number": "601-594-7086",
            "fax_number": "601-878-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AVERAGE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "GAYLOR",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "WINSTON",
        "authorized_official_title_or_position": "LPN/ OWNER",
        "authorized_official_telephone_number": "601-594-7086",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "MS",
            "license": "P316588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awaken by Wellness LLC
• Marisa Nicole Barlow, FNP
• Darius Campbell
• Caring Hearts of Mississippi Nonprofit Outreach
• Central Mississippi Civic Improvement Association, Inc.

• Licensed Practical Nurse in Terry, MS
• Providers in Terry, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.