A Healthy You Medical Clinic, 'L.L.C.'

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

A HEALTHY YOU MEDICAL CLINIC, 'L.L.C.'

Practice address

1202 Desoto Ave
Suite a
Clarksdale, MS 38614-6937

Phone

(662) 209-1202

Fax

(662) 483-1627

NPI assigned

Jan 9, 2017

Last updated

May 20, 2019By 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

Lula Owens Hoskins, APRNNPI 1316979826

Title

Provider

Phone

(662) 209-1202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19269/brand/1/csg/1/fhir/r4

Practitioners 2

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.

• Lula Owens Hoskins, FNP

  • Nurse Practitioner
  • Clarksdale, MS
  • NPI 1316979826
  Medicare reassignment Care Compare group NPD Authorized official
• Teri Williams, FNP

  • Family Nurse Practitioner
  • Clarksdale, MS
  • NPI 1063375046
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1982140448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 DESOTO AVE",
            "address_2": "SUITE A",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146937",
            "telephone_number": "662-209-1202",
            "fax_number": "662-483-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 DESOTO AVE",
            "address_2": "SUITE A",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146937",
            "telephone_number": "662-209-1202",
            "fax_number": "662-483-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HEALTHY YOU MEDICAL CLINIC, 'L.L.C.'",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "LULA",
        "authorized_official_middle_name": "OWENS",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "662-209-1202",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Aaron E Henry Community Health (Medical Mobile Unit)
• Aaron E Henry Community Health (Aaron E Henry Community Health Hospital)
• Aaron E. Henry Community Health (Aurelia Jones - Taylor Administrative Complex)
• Aaron E. Henry Community Health Services Center, Inc

• Nurse Practitioner in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.