Organization Active NPI

Nurse on the Go LLC

  • Clinical Medical Laboratory
  • Nesbit, MS
National Provider Identifier
1952052672
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NURSE ON THE GO LLC
Practice address
1748 Wooten Dr
Nesbit, MS 38651-2301
Phone
(901) 517-8678
NPI assigned
Jan 13, 2022
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Charis Holman, RNNPI 1255082202
Title
Owner
Phone
(901) 517-8678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary
Registered Nurse 163W00000X NU

Addresses

Primary practice location

1748 Wooten Dr
Nesbit, MS 38651-2301

Mailing address

1748 Wooten Dr
Nesbit, MS 38651-2301
Phone (901) 517-8678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1952052672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 WOOTEN DR",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386512301",
            "telephone_number": "901-517-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 WOOTEN DR",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386512301",
            "telephone_number": "901-517-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE ON THE GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "CHARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-517-8678",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nesbit, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.