Allcare Family Medical Clinic Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ALLCARE FAMILY MEDICAL CLINIC INC

Practice address

109 Eureka St Ste B
Batesville, MS 38606-2534

Phone

(662) 299-1790

NPI assigned

Dec 11, 2019

Last updated

Mar 17, 2020By 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

Shonna Dickard, NP

Title

Co-Owner/NP

Phone

(662) 712-6144

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20823/brand/1/csg/1/fhir/r4/

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1972141794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1872",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386064372",
            "telephone_number": "662-712-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 EUREKA ST STE B",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062534",
            "telephone_number": "662-299-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLCARE FAMILY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "DICKARD",
        "authorized_official_first_name": "SHONNA",
        "authorized_official_title_or_position": "CO-OWNER/NP",
        "authorized_official_telephone_number": "662-712-6144",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Batesville, MS
• Providers in Batesville, 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 Mar 17, 2020; 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.