MARINA MOSS (NPI# 1346509866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346509866 |
| Entity Type | Individual |
| Full Name | MARINA MOSS |
| Practice Address |
1415 College Dr Meridian MS 39307-5345 |
| Practice Telephone | 6014834821 |
| Mailing Telephone | 6014834821 |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2012-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1415 COLLEGE DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39307-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841273885 | Stephanie L Cooper | Psychologist | 1415 College Dr, Meridian, MS 39307-5345 | 2005-11-23 |
| 1528546363 | Constance Bradley | Nurse Practitioner | 1415 College Dr, Meridian, MS 39307-5345 | 2018-08-03 |
| 1295246551 | Jessica Pettis Curry | Registered Nurse | 1415 College Dr, Meridian, MS 39307-5345 | 2017-10-13 |
| 1164931952 | Region Ten State of Ms | Clinic/Center | 1415 College Dr, Meridian, MS 39307-5345 | 2017-09-25 |
| 1598297392 | Aurthur Goodwin | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-03-30 |
| 1528505021 | Tracy Smith | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2017-01-23 |
| 1033563432 | Jessica Mccoy | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2016-04-21 |
| 1780068056 | Amelia Margaret Kelley | Nurse Practitioner | 1415 College Dr, Meridian, MS 39307-5345 | 2015-07-16 |
| 1427446558 | Laquita Bush | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-12-23 |
| 1952707267 | Lasherish Derrick | Counselor | 1415 College Dr, Meridian, MS 39307-5345 | 2014-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841824232 | Erica Sheree Smith | Registered Nurse | 1818 College Dr, Meridian, MS 39307 | 2020-02-25 |
| 1518481480 | Derrick Pringle | Social Worker | 110 48th Ave, Meridian, MS 39307 | 2017-08-01 |
| 1821519547 | Leslie Rutkowski | Student in an Organized Health Care Education/Training Program | 2514 67th Avenue Loop Suite 112, Meridian, MS 39307 | 2017-07-03 |
| 1811254931 | Meridian Community College | Dentist | 910 Highway 19 North, Meridian, MS 39307 | 2012-04-13 |
| 1548533672 | Carvan Lorraine Carter | Counselor | 1807 39th Pl, Meridian, MS 39307 | 2012-02-21 |
| 1699921148 | Sara B Smith | Counselor | 1415 College Drive, Meridian, MS 39307 | 2008-08-15 |
| 1285856112 | Jan Parr Boggs | Psychologist | 1508 37th Avenue, Meridian, MS 39307 | 2007-05-02 |
| 1720694029 | Michelle Gomez Dickerson | Registered Nurse | 1818 College Drive, Meridian, MS 39307 | 2020-09-22 |
| 1770116030 | Briana Shanee Brunson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-02-14 |
| 1619507407 | Brenda A Thompson | Nurse Practitioner | 1818 College Drive, Meridian, MS 39307 | 2020-01-21 |
| Find all providers in zip 39307 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271843 | Krystle May Sears | Counselor | 1550 N Crestmont Dr Ste A, Meridian, ID 83642-2177 | 2020-10-01 |
| 1750927372 | Restoring Hope Healing From Trauma and Addiction LLC | Counselor | 850 E Franklin Rd Ste 405, Meridian, ID 83642-8917 | 2019-11-19 |
| 1942864434 | Carissa Ann Barnes | Counselor | 827 W Ashby Dr, Meridian, ID 83646-5695 | 2019-04-30 |
| 1134687809 | Lauren Yoder | Counselor | 3023 E Copper Point Dr Ste 108, Meridian, ID 83642-9290 | 2019-03-12 |
| 1376000943 | Amanda Marie Breneman | Counselor | 235 E Pine Ave, Meridian, ID 83642-2332 | 2019-03-01 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1740767623 | Serena Poland | Counselor | 3019 S Hudspeth Ave, Meridian, ID 83642-4815 | 2018-07-24 |
| 1821574294 | Anna Krzemieniecki | Counselor | 1406 N Main St Ste 203, Meridian, ID 83642-1746 | 2018-07-18 |
| 1972011062 | Ebone Shania Newton | Counselor | 2803 North Hills Street, Meridian, MS 35459 | 2018-01-11 |
| 1285143941 | Nicholas E O'brien | Counselor | 2463 E Gala St, Meridian, ID 83642 | 2017-09-26 |
| Find all providers in MERIDIAN | ||||
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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.