Theresa Ann Rafique, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R867386 Issued in MS

Practice address

2504 Browning Road 520
Greenwood, MS 38930-6022

Phone

(662) 453-6211

NPI assigned

Feb 22, 2007

Last updated

Aug 13, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281657600000",
    "number": "1952436057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 COUNTY ROAD 352",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389307068",
            "telephone_number": "662-455-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 BROWNING ROAD 520",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389306022",
            "telephone_number": "662-453-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFIQUE",
        "first_name": "THERESA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R867386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pyces Its Healthcare LLC (PYCES ITS Healthcare Consulting, LLC)
• Quality Drugs Inc (Quality Drugs)
• Emelja Quinn, MSW,CMHT
• Luke Konnor Quinn, P-CMHT, P-LPC
• Syed S Rafique, M.D.
• Donna P Ray, MSW
• Lashonda Denise Ray
• RCG Mississippi, Inc. (RCG Greenwood)
• Alexis Reed
• Lavonda Reed

• Family Nurse Practitioner in Greenwood, MS
• Providers in Greenwood, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.