PASS ROAD ELEMENTARY (NPI# 1154543528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154543528 |
Entity Type | Organization |
Organization Name | PASS ROAD ELEMENTARY |
Other Organization Name | HEALTHY KIDS CLINIC AT PASS ROAD ELEMENTARY |
Practice Address |
37 Pass Road Gulfport MS 39507 |
Practice Telephone | 2288654659 |
Mailing Telephone | 2288654659 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. STACEY WALDROP (SCHOOL NURSE) |
Authorized Official Telephone | 2288654659 |
Authorized Official Credential | RN, NCSN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WS0200X |
Registered Nurse Specialization: School |
R772068 | MS | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00836002 | 05 |
Other Name | Type Code |
---|---|
Healthy Kids Clinic at Pass Road Elementary | Other Name - Individual/Organization |
Street Address |
37 PASS ROAD |
City | GULFPORT |
State | MS |
Zip Code | 39507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
1619003191 | Arthur Tripp | Chiropractor | 422 Security Square, Dr Arthur Tripp Traditional Chiropractic, Gulfport, MS 39507 | 2007-02-26 |
Find all providers in zip 39507 |
Taxonomy Code | 163WS0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467660407 | Gulfport School District | Registered Nurse | 1526 Mills Ave, Gulfport, MS 39501-3618 | 2007-05-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083118723 | Pontotoc City School | Registered Nurse | 140 Education Dr, Pontotoc, MS 38863-2107 | 2018-03-19 |
1801266002 | Starkville Oktibbeha Consolidated School District | Registered Nurse | 2926 Sixteenth Section Rd, Starkville, MS 39759-4700 | 2015-09-30 |
1467859264 | Lamar County School District | Registered Nurse | 1201 Bilbo Rd, Lumberton, MS 39455-8670 | 2014-11-24 |
1821495623 | Lamar County School District | Registered Nurse | 5279 W 4th St, Hattiesburg, MS 39402-9700 | 2014-11-24 |
1730586538 | Lamar County School District | Registered Nurse | 5976 Us Highway 11, Purvis, MS 39475-5066 | 2014-11-24 |
1750646576 | Dorothy Grady-scarbrough | Registered Nurse | 700 Robert D. Gray Ave, Shelby, MS 38774-0028 | 2012-07-09 |
1700167194 | Starkville Public Schools | Registered Nurse | 303 Mckee Street, Armstrong Middle School, Starkville, MS 39759-3132 | 2011-08-30 |
1871873729 | Starkville Oktibbeha Consolidated School District | Registered Nurse | 603 Yellowjacket Drive, Starkville High School, Starkville, MS 39759 | 2011-08-24 |
1013239169 | Starkville School District | Registered Nurse | 200a Dr Martin Luther King Jr Dr W, Starkville, MS 39759-2890 | 2010-02-17 |
1952631699 | Cleveland School District | Registered Nurse | 305 Merritt Dr, Cleveland, MS 38732-2247 | 2009-12-31 |
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.