ANNETTA MERIDETH (NPI# 1558601609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558601609 |
| Entity Type | Individual |
| Full Name | ANNETTA MERIDETH |
| Practice Address |
16657 Highway 16 E De Kalb MS 39328-5511 |
| Practice Telephone | 6014806227 |
| Mailing Telephone | 6014806227 |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2013-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 1881 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16657 HIGHWAY 16 E |
| City | DE KALB |
| State | MS |
| Zip Code | 39328-5511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342592 | Tashanda Chamberlin | Respite Care | 100 Hopper Ave, Dekalb, MS 39328 | 2020-07-01 |
| 1285270801 | Proxsys Rx - Rush LLC | Pharmacy | 14916 Hwy 16 W, Unit #1, Dekalb, MS 39328 | 2019-11-19 |
| 1700303104 | James Waldo Vandevender | Pharmacist | 14916 Hwy 16 West, Dekalb, MS 39328 | 2017-08-25 |
| 1992191084 | Emmanuel Ridge of Dekalb Inc | Registered Nurse | 14632 Hwy 39n/16e, Dekalb, MS 39328 | 2015-04-15 |
| 1376978551 | Bio-medical Applications of Mississippi, Inc. | Clinic/Center | 30 Ponderosa Avenue, Dekalb, MS 39328 | 2013-09-06 |
| 1386729580 | Darrell J Zehr | Dentist | 201 Birch Street, Dekalb, MS 39328 | 2006-10-26 |
| 1225148158 | Daniel Elliot Fulton Jr. | Dentist | Hwy 39 S Church Street, Dexalb, MS 39328 | 2006-08-30 |
| 1467072165 | Haley Ezelle | Occupational Therapist | 220 Willow Ave, Dekalb, MS 39328 | 2020-04-22 |
| 1831116300 | Freds Stores of Tennessee Inc | Pharmacy | 14916 Hwy 16 West, Dekalb, MS 39328 | 2006-07-17 |
| 1609866235 | Kemper County Ltc Inc | Skilled Nursing Facility | 220 Willow Ave, Dekalb, MS 39328-0577 | 2005-10-25 |
| Find all providers in zip 39328 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728639 | Latoya R Thompson | Massage Therapist | 119 S Madison St, Kosciusko, MS 39090-3628 | 2020-07-29 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1275154338 | Crystal Edwards | Massage Therapist | 2718 Medgar Evers Blvd, Jackson, MS 39213-7257 | 2020-04-30 |
| 1265063135 | Georgene Ferrie | Massage Therapist | 1612 Main St., Fayette, MS 39069 | 2020-01-30 |
| 1578103735 | Sandra Suggs | Massage Therapist | 2621 W Oxford Loop Ste C, Oxford, MS 38655-5442 | 2020-01-15 |
| 1881236479 | Donna Summers | Massage Therapist | 761 Woodlake Dr, Jackson, MS 39206-2219 | 2019-10-15 |
| 1538715305 | Charles Louis Wilson | Massage Therapist | 2900 Government St Ste A, Ocean Springs, MS 39564-5647 | 2019-08-16 |
| 1619531084 | Derek Cumberland | Massage Therapist | 505 Oakleigh Pl, Brandon, MS 39047-6297 | 2019-04-30 |
| 1710461223 | Lamonica P Starks | Massage Therapist | 118 Weisenberger Rd Ste 200, Madison, MS 39110-5012 | 2018-09-20 |
| 1497295117 | Eletha Walker | Massage Therapist | 215 Walker Smith Rd, Florence, MS 39073 | 2017-02-28 |
| 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.