Magnolia Kids Pediatric Extended Care LLC

Primary specialty

Medically Fragile Infants and Children Day CareTaxonomy code 261QM3000X

Legal business name

MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC

Doing business as

Magnolia Kids
Magnolia Kids Pediatric Extended Care

Practice address

166 Navajo Cir
Clinton, MS 39056-3111

Phone

(601) 503-3731

NPI assigned

Feb 26, 2024

Last updated

Mar 12, 2024By 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

Mrs. Laura D Turman, RN, BSN

Title

Co-Owner and Director of Nursing

Phone

(601) 503-3731

Specialties & licenses 2

Addresses

Other names 2

• Magnolia Kids Doing business as
• Magnolia Kids Pediatric Extended Care Doing business as

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1932965902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 NAVAJO CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563111",
            "telephone_number": "601-503-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 NAVAJO CIR",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563111",
            "telephone_number": "601-503-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA KIDS PEDIATRIC EXTENDED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "TURMAN",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CO-OWNER AND DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "601-503-3731",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM3000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medically Fragile Infants and Children Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Kids",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Kids Pediatric Extended Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Kids Pediatric Extended Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cara Joy Lunceford, BSN, RN
• Yin Luo
• Kristyn Clay Lyons, PT, DPT
• Magnolia Allergy and Skin Care
• Magnolia Dermatology, PLLC
• Morgan Lee Mallette, PHARM.D.
• Tracey N Marshall, NCC, LPC
• Scott Chasley Martin, M.D.
• Sylvia G Martin, MD
• Joshua C Massey

• Medically Fragile Infants and Children Day Care in Clinton, MS
• Providers in Clinton, MS by specialty
• Medically Fragile Infants and Children Day Care in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.