BETTY BASS (NPI# 1295384683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295384683 |
| Entity Type | Individual |
| Full Name | BETTY BASS |
| Practice Address |
693 Miggins Road Canton MS 39046 |
| Practice Telephone | 6015067177 |
| Mailing Telephone | 6015067177 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
MS | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730665472 | Betty Bass | Chore Provider | 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 | 2018-07-16 |
| 1609955947 | Betty Smith Bass | Case Manager/Care Coordinator | 3810 Winchester Rd, Southeast M Health, Memphis, TN 38118 | 2006-11-06 |
| Street Address |
693 MIGGINS ROAD |
| City | CANTON |
| State | MS |
| Zip Code | 39046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043858053 | Pediatric Haven | Skilled Nursing Facility | 112 Westfalen Drive, Canton, MS 39046 | 2019-12-20 |
| 1932743176 | Stacey Elizabeth Aldridge | Social Worker | 210 E Peace Street, Canton, MS 39046 | 2019-10-31 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1972081644 | Charles Brayden Jones | Physical Therapist | 276 Nissan Pkwy Ste 400, Canton, MS 39046 | 2018-08-03 |
| 1013436062 | Andrew J Breland | Counselor | 210 E Peace St, Canton, MS 39046 | 2017-09-11 |
| 1801318290 | Mississippi Enjoy Breastfeeding Shalom Resource Center | Clinic/Center | 343 Smith Street, Canton, MS 39046 | 2017-07-07 |
| 1619362977 | Shameca Hudson | Nurse Practitioner | 274 Cobbville Dr E, Canton, MS 39046 | 2015-04-03 |
| 1144644386 | Margaret Reimers Beckwith | Chiropractor | 124 Links Drive, I-103, Canton, MS 39046 | 2014-02-07 |
| 1053753194 | Tanya Linette Calhoun | Nurse Practitioner | 1171 Hart Street, Canton, MS 39046 | 2013-07-17 |
| 1235470139 | First Step Community Care LLC | Chore Provider | 2633 South Liberty St, Ste B, Canton, MS 39046 | 2013-03-04 |
| Find all providers in zip 39046 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164069001 | Cristy Dianna Bostic | Technician | 6644 List St Nw, Canton, OH 44708-6419 | 2019-12-10 |
| 1881245736 | Mildred Loving | Technician | 323 Shady Lane, Canton, MS 39046 | 2019-09-23 |
| 1093363038 | Marcia Lynn Young | Technician | 919 Harriet Ave Nw, Canton, OH 44703-2262 | 2019-09-03 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1295143550 | Susan Elaine Ball | Technician | 908 6th St Sw, Canton, OH 44707 | 2014-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467050617 | Maria Annette Seale | Technician | 504 Merganser Trl, Clinton, MS 39056-6262 | 2020-10-10 |
| 1295341980 | Penny Winstead | Technician | 1523 Highway 13 N, Brandon, MS 39042-7480 | 2020-09-18 |
| 1316559966 | Royeisha Deshawn Walker | Technician | 3635 Hancock St, Jackson, MS 39213-5803 | 2020-08-17 |
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1245855790 | Hayley Caughman | Technician | 902 Stratford Ln, Amory, MS 38821-2009 | 2020-06-10 |
| 1033733738 | John Flowers | Technician | 4417 27th St, Meridian, MS 39307-4272 | 2020-05-29 |
| 1689297731 | Judy Johnson Stuart | Technician | 169 Robinhood Trl, Brandon, MS 39042-9456 | 2020-05-23 |
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1407481500 | Jannie M. King | Technician | 158 Waco Road, Inverness, MS 38753 | 2020-03-09 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 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.