Active NPI
Med Options LLC.
- Family Nurse Practitioner
- Hattiesburg, MS
National Provider Identifier
1992166094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R865509
- Legal business name
- MED OPTIONS LLC.
- Practice address
- 5266 Old Highway 11
Ste 70 PMB 104
Hattiesburg, MS 39402-7817 - Phone
- (601) 466-0825
- NPI assigned
- Mar 16, 2016
- Last updated
- Mar 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shermanda Brumfield, FNP-BC
- Title
- President
- Phone
- (601) 466-0825
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R865509 | MS | Primary |
| Internal Medicine Physician | 207R00000X | 19209 | MS |
Addresses
Primary practice location
5266 Old Highway 11
Ste 70 PMB 104
Hattiesburg, MS 39402-7817
Mailing address
5266 Old Highway 11
Ste 70 PMB 104
Hattiesburg, MS 39402-7817
Phone (601) 466-0825
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861801888 | Other | MS | NPI |
| 02902324 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
5266 Old Highway 11
Ste 70
Hattiesburg, MS 39402
Phone (601) 466-0825
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.
-
- Family Nurse Practitioner
- Hattiesburg, MS
- NPI 1861801888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458086400000",
"number": "1992166094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5266 OLD HIGHWAY 11",
"address_2": "STE 70 PMB 104",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027817",
"telephone_number": "601-466-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5266 OLD HIGHWAY 11",
"address_2": "STE 70 PMB 104",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394027817",
"telephone_number": "601-466-0825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED OPTIONS LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-16",
"last_updated": "2016-03-16",
"status": "A",
"authorized_official_last_name": "BRUMFIELD",
"authorized_official_first_name": "SHERMANDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-466-0825",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R865509",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MS",
"license": "19209",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1861801888",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02902324",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.