PATTYE DORRIS (NPI# 1588211916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588211916 |
| Entity Type | Individual |
| Full Name | PATTYE DORRIS |
| Credential | AGNP |
| Practice Address |
415 Us Highway 49 N Tutwiler MS 38963-5091 |
| Mailing Address |
605 Rockhill Rd Sardis MS 38666-5070 |
| Practice Telephone | 6626456567 |
| Mailing Telephone | 6626545110 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
902063 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | NURSE PRACTIITONER LICENSE | 903062 | 01 |
| Street Address |
415 US HIGHWAY 49 N |
| City | TUTWILER |
| State | MS |
| Zip Code | 38963-5091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536636 | Lekenya Miriam Nuttall | Nurse Practitioner | 415 Us Highway 49 N, Tutwiler, MS 38963-5091 | 2019-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568071975 | Patrick Burns | Dentist | Tallahatchie County Correctional, 415 Us 49, Tutwiler, MS 38963 | 2020-07-31 |
| 1669805040 | Dankenya Mcdavis | Nurse Practitioner | 415 Hwy 49, Tutwiler, MS 38963 | 2013-08-20 |
| 1003132937 | Parental Adult Daycare | In Home Supportive Care | 409 West Street, Tutwiler, MS 38963 | 2010-04-16 |
| 1699956268 | Ancor Adult Day Care Center | Exclusive Provider Organization | 813 Hancock Street, Tutwiler, MS 38963 | 2007-11-23 |
| 1821107996 | Destiny Hospice Palliative Care Specialty Sercices Inc | Hospice Care, Community Based | 202 Second St., Tutwiler, MS 38963 | 2006-08-30 |
| 1003036294 | Trinity Hospice and Palliative Care Services Inc. | Hospice Care, Community Based | 100 2nd St, Tutwiler, MS 38963 | 2007-04-27 |
| 1225190689 | Anne E Brooks | Family Medicine | 205 Alma St, Tutwiler, MS 38963 | 2006-12-14 |
| 1811008261 | Tutwiler Clinic Inc | Family Medicine | 205 Alma St, Tutwiler, MS 38963-0462 | 2006-08-31 |
| 1609322205 | Tallahatchie General Hospital | Clinic/Center | 205 Alma St, Tutwiler, MS 38963-5067 | 2016-09-01 |
| 1457761611 | Sabrina Gail Easter | Nurse Practitioner | 205 Alma St, Tutwiler, MS 38963-5067 | 2014-04-28 |
| Find all providers in zip 38963 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457761611 | Sabrina Gail Easter | Nurse Practitioner | 205 Alma St, Tutwiler, MS 38963-5067 | 2014-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143024 | Desoto Family Wellness Center, LLC | Nurse Practitioner | 3495 Cobblestone Blvd South, Southaven, MS 38672-3867 | 2020-10-30 |
| 1760096127 | Sarah Freeman Adams | Nurse Practitioner | 710 Ms -371, Mooreville, MS 38857 | 2020-09-03 |
| 1295353290 | Ashley Smith Allen | Nurse Practitioner | Rankin Rural Medical Center, 129 Center Street Suite B, Richland, MS 39218 | 2020-07-07 |
| 1619591542 | Kristy S. Franks | Nurse Practitioner | 2803 Cobb Stump Rd, Fulton, MS 38843-7391 | 2020-06-06 |
| 1013543388 | Mallory Elizabeth Boggs | Nurse Practitioner | 159 Fountains Blvd Ste B, Madison, MS 39110-6344 | 2020-03-19 |
| 1265072821 | Settlemires Family Medical Clinic, LLC | Nurse Practitioner | 3198 Highway 72 W, Corinth, MS 38834-9303 | 2020-01-13 |
| 1457907248 | Tanya Sanderson | Nurse Practitioner | 4208 Ridgemont Drive, Belden, MS 38826 | 2019-08-16 |
| 1720556319 | Julie Smythe Harper | Nurse Practitioner | 86 Berry Rd, Newhebron, MS 39140-5496 | 2018-11-13 |
| 1063912046 | Laquania Williams | Nurse Practitioner | 470 County Road 471, Vardaman, MS 38878-9770 | 2018-02-16 |
| 1982126983 | Aloha Primary Care | Nurse Practitioner | 4402 E Aloha Dr Ste 15, Diamondhead, MS 39525-3305 | 2017-07-11 |
| 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.