PRINCESS KATHLEENE QUINN (NPI# 1568015550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568015550 |
Entity Type | Individual |
Full Name | PRINCESS KATHLEENE QUINN |
Credential | BCCS |
Practice Address |
1000 Highland Colony Pkwy Ste 5203 Ridgeland MS 39157-2079 |
Mailing Address |
1054 Highland Cove Pl Ridgeland MS 39157-1523 |
Practice Telephone | 6012919058 |
Mailing Telephone | 6012919058 |
Enumeration Date | 2019-07-19 |
Last Update Date | 2019-07-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 188792 | MS | Other Service Providers |
Street Address |
1000 HIGHLAND COLONY PKWY STE 5203 |
City | RIDGELAND |
State | MS |
Zip Code | 39157-2079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760761431 | Niketa C Pechan | Social Worker | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2011-08-11 |
1497370233 | Stat Healthcare LLC | Nursing Care | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2020-06-08 |
1417581505 | Ashli Richmond | Nurse Practitioner | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2020-02-27 |
1740810712 | Jordan Counseling Services, LLC | Clinic/Center | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2020-01-18 |
1750932372 | Heavenly Caring Hands LLC | Home Health | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2019-09-25 |
1336795947 | Rose Manley Kasrai | Marriage & Family Therapist | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2019-08-11 |
1164983128 | Elevate Treatment Services, LLC | Social Worker | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2019-03-30 |
1609341908 | Sandra Sidonia Arnold | Nurse Practitioner | 1000 Highland Colony Pkwy Ste 5203, Ridgeland, MS 39157-2079 | 2018-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
Find all providers in zip 39157 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376098236 | Allison Bounds | Specialist | 831 Rice Rd, Ridgeland, MS 39157-3022 | 2016-08-22 |
1093174187 | Charlotte Cox | Specialist | 950 E County Line Rd Ste C, Ridgeland, MS 39157-1928 | 2016-02-17 |
1003249202 | Edward Lee Gieger Jr. | Specialist | 195 Butler Dr, Ridgeland, MS 39157-9779 | 2013-08-12 |
1023239977 | Russell David Hinds | Specialist | 2144 Lakeshore Dr Apt 14a, Ridgeland, MS 39157-1029 | 2007-05-01 |
1346398625 | Radiological Group, Pa | Specialist | 1107 Highland Colony Parkway, Suite 209, Ridgeland, MS 39157-6079 | 2007-01-05 |
1982715454 | Leslie B Delaney | Specialist | 297 Highway 51, Suite B, Ridgeland, MS 39157-3423 | 2006-08-31 |
1053737981 | Brockman Chase Williams | Specialist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2014-03-17 |
1043490246 | Tammy Sims | Specialist | 297 Highway 51 Ste B, Ridgeland, MS 39157-3423 | 2007-11-06 |
1649493560 | David Robert Steckler, Jr. | Specialist | 200 W Jackson St, Suite 100, Ridgeland, MS 39157 | 2007-04-10 |
1457484594 | Jackson Pediatric Associates | Specialist | 297 Highway 51 Ste B, Ridgeland, MS 39157-3423 | 2007-03-14 |
Find all providers in RIDGELAND |
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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.