DR. COLLIETTA BASSETT (NPI# 1063976983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063976983 |
| Entity Type | Individual |
| Full Name | DR. COLLIETTA BASSETT |
| Credential | DNP,PMHNP-BC |
| Practice Address |
5185 Getwell Rd Southaven MS 38671-9691 |
| Mailing Address |
3730 Saint Philip Dr Bartlett TN 38133-4216 |
| Practice Telephone | 6623496385 |
| Practice Fax Number | 6623496387 |
| Mailing Telephone | 9012404859 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
25447 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5185 GETWELL RD |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-9691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932321742 | Otis Anderson IIi | Psychiatry & Neurology | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2007-05-02 |
| 1174028724 | Alice Dawn Jenkins | Pharmacist | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2018-03-27 |
| 1215443072 | Sarah Allison Morris | Pharmacist | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2017-12-15 |
| 1689191686 | Smart Medi Care Health Services Inc. | Community/Behavioral Health | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2017-08-29 |
| 1245521574 | First Pharmacy Compounding Services | Pharmacy | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2011-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1235619206 | Tracy Ellis Burns | Nurse Practitioner | 5699 Getwell Rd Bldg H1, Southaven, MS 38672-7311 | 2018-08-18 |
| 1225646110 | Tabitha Flowers Arrington | Nurse Practitioner | 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 | 2020-07-17 |
| 1851916837 | Amanda Folsom | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-06-15 |
| 1164083747 | Jennifer Gail Ross | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2019-06-25 |
| 1649753161 | Tanisha Martin | Nurse Practitioner | 8626 Airways Blvd, Southaven, MS 38671-2603 | 2018-09-11 |
| 1760902712 | Katelyn Lee Conner | Nurse Practitioner | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672 | 2017-06-21 |
| 1578913885 | In Focus Psychiatry LLC | Nurse Practitioner | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 | 2016-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| 1457998965 | Katie Mae Spann | Nurse Practitioner | 1510 Hawthorne Pl, Clinton, MS 39056-3911 | 2019-12-03 |
| 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.