CAROLANN RISLEY (NPI# 1407157118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407157118 |
| Entity Type | Individual |
| Full Name | CAROLANN RISLEY |
| Credential | NP |
| Practice Address |
4600 Vega St Pascagoula MS 39581-5303 |
| Mailing Address |
7008 Ocean Springs Rd Ocean Springs MS 39564-8226 |
| Practice Telephone | 2287621117 |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
R863092 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4600 VEGA ST |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39581-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164722559 | Mississippi State Department of Health | Clinic/Center | 4600 Vega St, Pascagoula, MS 39581-5303 | 2010-11-01 |
| 1174934871 | Mississippi State Department of Health | Public Health or Welfare | 4600 Vega St, Pascagoula, MS 39581-5303 | 2014-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760945448 | Jacquelyn B Ellison | Nurse Practitioner | 4105 Hospital Road, Ste 103, Pascagoula, MS 39581 | 2019-04-10 |
| 1104346816 | Jennifer Ngoc Bui | Dentist | 4001 Denny Ave Suite 1, Pascagoula, MS 39581 | 2017-06-23 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1487919957 | Candace Noel Pendowski | Nurse Practitioner | 4211 Hospital St Suite 208, Pascagoula, MS 39581 | 2012-07-10 |
| 1649548892 | Kim M. Tumminello | Nurse Practitioner | 4253 Denny Avenue, Pascagoula, MS 39581 | 2011-12-02 |
| 1649547860 | Abrian Norell Flowers | Physical Therapist | 3537 Denny Avenue, Suite 115, Pascagoula, MS 39581 | 2011-11-17 |
| 1164724118 | Coast To Coast Rehab LLC | Rehabilitation Practitioner | 3537 Denny Ave, Suite 115, Pascagoula, MS 39581 | 2010-11-24 |
| 1740500958 | Joshua Eric Tucker | Physical Medicine & Rehabilitation | 4105 Hospital St Ste 112b, Pascagoula, MS 39581 | 2010-06-10 |
| 1720164916 | Vernon W Doster | Family Medicine | 3616 Hospital Street, Suite D, Pascagoula, MS 39581 | 2006-10-31 |
| 1841387727 | David Bruce Allen | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4300 Hospital Rd, Suite 105, Pascagoula, MS 39581 | 2006-10-10 |
| Find all providers in zip 39581 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1669762902 | Stacey Marie Kreher | Nurse Practitioner | 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 | 2011-04-07 |
| 1174755359 | Innovative Health LLC | Nurse Practitioner | 501 Marshall St Ste 605, Jackson, MS 39202-1650 | 2009-08-20 |
| 1891814802 | Delta Physician Practices | Nurse Practitioner | 302 Arnold Ave, Greenville, MS 38701-4711 | 2007-03-29 |
| 1629116330 | Jean Lawes | Nurse Practitioner | 701 Yalobusha St, Greenwood, MS 38930-2015 | 2007-02-02 |
| 1669450425 | Melissa L Barnett | Nurse Practitioner | 1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-01-03 |
| 1831619626 | Erica Clanahan | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2017-06-22 |
| 1699157487 | Jada Elyse Vierling Hill | Nurse Practitioner | 715a Division St, Biloxi, MS 39530-2209 | 2015-06-29 |
| 1396017646 | Mary K Fouquier | Nurse Practitioner | 1207 N West St, Jackson, MS 39202-2018 | 2012-02-02 |
| 1790091304 | North Mississippi Medical Center | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2010-08-20 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39581 |
Please comment or provide details below to improve the information on CAROLANN RISLEY.
| 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.