MRS. BRENDA JOYCE NICHOLSON (NPI# 1275181901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275181901 |
| Entity Type | Individual |
| Full Name | MRS. BRENDA JOYCE NICHOLSON |
| Practice Address |
1677 Camp Eight Rd Richton MS 39476-8932 |
| Practice Telephone | 6017355551 |
| Mailing Telephone | 6017355551 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265949614 | Brenda D Nicholson | Counselor | 1229 E Pleasant Run Rd Ste 309, Desoto, TX 75115-4209 | 2018-01-08 |
| 1164422655 | Brenda Pittman Nicholson | Internal Medicine | 1415 Old Weisgarber Rd, Sutie 200, Knoxville, TN 37909-1292 | 2005-07-26 |
| 1942666011 | Brenda Nicholson | Counselor | 1950 Alameda De Las Pulgas, A13, San Mateo, CA 94403-1222 | 2016-01-05 |
| 1902909179 | Brenda A. Nicholson | Physical Therapist | 2312 S Dixon Rd, Suite 250, Kokomo, IN 46902-6401 | 2006-09-06 |
| Street Address |
1677 CAMP EIGHT RD |
| City | RICHTON |
| State | MS |
| Zip Code | 39476-8932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083255632 | Julie Pace | Dietitian, Registered | 406 S Front Street, Richton, MS 39476 | 2019-10-04 |
| 1518404136 | Mary Mcswain | Registered Nurse | 36a Amos Mcswain Rd, Richton, MS 39476 | 2017-01-20 |
| 1558770784 | Tylinda Cotton | Registered Nurse | 91180 Hwy 42 West, Richton, MS 39476 | 2014-08-13 |
| 1689010209 | Par Medical Inc | Durable Medical Equipment & Medical Supplies | 156 Apple Avenue., Richton, MS 39476 | 2013-05-22 |
| 1164734109 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 403 N Front St, Richton, MS 39476 | 2010-07-07 |
| 1649405911 | Greene Area Medical Extenders, Inc | Clinic/Center | 37765 Highway 63n, Richton, MS 39476 | 2009-05-15 |
| 1851433585 | James Michael Pace | Family Medicine | 406 South Front Street, Richton, MS 39476 | 2007-02-12 |
| 1306931431 | Coastal Family Health Center Inc | Clinic/Center | 39455 Highway 63 North, Richton, MS 39476 | 2006-10-04 |
| 1942233283 | Hattiesburg Clinic, Pa | Clinic/Center | 303 Red Bud Avenue, Richton, MS 39476 | 2006-07-09 |
| 1518913060 | Patricia Pearce Dykes | Nurse Practitioner | 210 Bay Ave.l, Richton, MS 39476 | 2006-05-26 |
| Find all providers in zip 39476 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 1023502804 | Beverly Clay | Technician | 6063 Fisher Rd, Meridian, MS 39301-9395 | 2018-06-15 |
| 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.