Individual provider Active NPI

Clifton Wesley Cartwright, FNP-BC

  • Family Nurse Practitioner
  • Booneville, MS
National Provider Identifier
1982177176
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903111 Issued in MS
Practice address
517 E Church St
Booneville, MS 38829-3709
Phone
(662) 728-8136
Fax
(888) 510-7960
NPI assigned
Jan 10, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903111 MS Primary

Addresses

Primary practice location

517 E Church St
Booneville, MS 38829-3709

Mailing address

517 E Church St
Booneville, MS 38829-3709
Phone (662) 728-8136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191231000166 MS Practitioner - Nurse Practitioner 7416381363 Practice locations: Booneville, MS

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1982177176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 E CHURCH ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293709",
            "telephone_number": "662-728-8136",
            "fax_number": "888-510-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 E CHURCH ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388293709",
            "telephone_number": "662-728-8136",
            "fax_number": "888-510-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTWRIGHT",
        "first_name": "CLIFTON",
        "middle_name": "WESLEY",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-10",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.