BEVERLY CLAY (NPI# 1023502804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023502804 |
| Entity Type | Individual |
| Full Name | BEVERLY CLAY |
| Practice Address |
6063 Fisher Rd Meridian MS 39301-9395 |
| Practice Telephone | 6016162704 |
| Practice Fax Number | 7692351035 |
| Mailing Telephone | 6016162704 |
| Mailing Fax Number | 7692351035 |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
MS | Nursing Service Related Providers | |
| N | 385H00000X | Respite Care | MS | Respite Care Facility |
| Street Address |
6063 FISHER RD |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-9395 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578856720 | Chris Menchaca | Technician | 2309 W Sonoma Ct, Meridian, ID 83642-4359 | 2011-05-20 |
| 1538357629 | Yelizaveta Agiy | Technician | 1883 W Wapoot Dr, Meridian, ID 83646-2755 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754779 | Trusted Healthcare Services LLC | Technician | 199 Charmant Pl Ste 3a, Ridgeland, MS 39157-4358 | 2020-09-12 |
| 1023629227 | Andrelena Harris | Technician | 121 Tillis Dr, Pinola, MS 39149-3165 | 2020-08-11 |
| 1467078956 | Workforce & Economic Strategies | Technician | 512 N Thayer Ave, Aberdeen, MS 39730-2314 | 2020-06-19 |
| 1760022842 | Yolanda Y Cartlidge | Technician | 500 Edgewood Ln, Brandon, MS 39042-3300 | 2020-01-07 |
| 1811534472 | Lawrence Self | Technician | 19150 Highway 61 N, Lyon, MS 38645-9779 | 2019-12-03 |
| 1164063376 | Reginald Lumpkin | Technician | 1160 Joanne St Apt 108, Jackson, MS 39204-5253 | 2019-09-30 |
| 1275181901 | Brenda Joyce Nicholson | Technician | 1677 Camp Eight Rd, Richton, MS 39476-8932 | 2019-08-27 |
| 1467006106 | Shenelle Savage | Technician | 131 Creekview Ln, Fayette, MS 39069-4596 | 2019-07-31 |
| 1811453483 | D'andrea Y Swims | Technician | 509 Turtle Ln, Brandon, MS 39047-5088 | 2019-02-19 |
| 1851874994 | P-cares Medical Supplies, LLC | Technician | 3476 River Rd, Fayette, MS 39069-4602 | 2018-09-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.