AMY M. PERKINS (NPI# 1487903936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487903936 |
| Entity Type | Individual |
| Full Name | AMY M. PERKINS |
| Other Name | AMY M. GASKINS |
| Credential | FNP-C |
| Practice Address |
2149 Stateline Rd W Southaven MS 38671-1222 |
| Practice Telephone | 6623421112 |
| Practice Fax Number | 6623421116 |
| Mailing Telephone | 6623421112 |
| Mailing Fax Number | 6623421116 |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2015-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F0712103 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | BCBS | 1487903936 | 01 |
| MS | FNP LICENSE | F0712103 | 01 |
| MS | RN LICENSE | R879057 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311039 | Amy Jo Perkins | Technician | 1345 Fuller Ct, Lancaster, OH 43130-7852 | 2020-09-22 |
| 1619448073 | Amy Lauren Perkins | Speech-Language Pathologist | 81 W Frederick St # 208, Walkersville, MD 21793-8216 | 2018-12-11 |
| 1427424720 | Amy Perkins | Counselor | 8518 W Maple St, West Allis, WI 53214-4324 | 2015-08-20 |
| 1699331405 | Amy Perkins | Pharmacist | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-05-16 |
| 1063908986 | Amy Perkins | Psychologist | 1815 Mccallie Ave, Chattanooga, TN 37404-3026 | 2018-07-03 |
| 1326383381 | Amy Hahn Perkins | Specialist | 2302 N 15th Ave, Phoenix, AZ 85007-1201 | 2012-12-03 |
| 1629323753 | Amy M Perkins | Registered Nurse | 5320 Hyland Greens Dr, Park Nicollet Family Medicine, Bloomington, MN 55437-3934 | 2012-07-15 |
| 1952684821 | Amy Farris Perkins | Optometrist | 6050 Airline Rd, #103, Arlington, TN 38002-4895 | 2011-09-27 |
| 1700165180 | Amy Jo Perkins | Nurse Practitioner | 234 Goodman St, Cincinnati, OH 45219-2364 | 2011-08-16 |
| 1962687210 | Amy B. Perkins | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2008-01-07 |
| Street Address |
2149 STATELINE RD W |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194894147 | Midsouth Medicine | Internal Medicine | 2149 Stateline Rd W, Southaven, MS 38671-1222 | 2006-11-06 |
| 1235695768 | Courtney Williamson Sandridge | Nurse Practitioner | 2149 Stateline Rd W, Southaven, MS 38671-1222 | 2019-02-20 |
| 1699246397 | Amy M Mclennan | Nurse Practitioner | 2149 Stateline Rd W, Southaven, MS 38671-1222 | 2018-12-07 |
| 1275936163 | Ginger L Stewart | Nurse Practitioner | 2149 Stateline Rd W, Southaven, MS 38671-1222 | 2014-10-06 |
| 1871726182 | Gwendolyn Pitcock Shirley | Nurse Practitioner | 2149 Stateline Rd W, Southaven, MS 38671-1222 | 2009-09-02 |
| 1922133206 | Ciao Z Newman | Internal Medicine | 2149 Stateline Rd W, Southaven, MS 38671-1222 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1518583129 | Susan E Mccullough | Nurse Practitioner | 5932 Antler Trl, Southaven, MS 38672-6511 | 2020-06-19 |
| 1336764778 | Raquel Janay Reed-washington | Nurse Practitioner | 3548 Herbert Cv, Southaven, MS 38672-2003 | 2020-06-11 |
| 1104452887 | Vincent Lee Spinosa-parker | Nurse Practitioner | 5056 Maiden Lane Cv, Southaven, MS 38672-6000 | 2020-03-13 |
| 1215438437 | Alba Laura Emerson | Nurse Practitioner | 1862 Lindsey Ln, Southaven, MS 38672-8602 | 2018-02-22 |
| 1629583026 | Lachasity Kimmons | Nurse Practitioner | 2032 Audubon Pl, Southaven, MS 38672-9440 | 2017-12-06 |
| 1124322474 | Ageless Men's Health, LLC | Nurse Practitioner | 7111 Southcrest Pkwy, Suite 109, Southaven, MS 38671-4850 | 2010-12-30 |
| 1487757365 | Regina G Seaton | Nurse Practitioner | 7676 Airways Blvd, Southaven, MS 38671-5304 | 2006-09-06 |
| 1063465482 | Misty Ann Moore | Nurse Practitioner | 7585 Clarington Cove, Southaven, MS 38671-2300 | 2006-05-18 |
| 1184602450 | Tammy Louise Carnahan | Nurse Practitioner | 7900 Airways Blvd, Building A Suite 6, Southaven, MS 38671-4113 | 2006-01-05 |
| Find all providers in SOUTHAVEN | ||||
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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.