CATIECHA L EDWARDS (NPI# 1598252645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598252645 |
| Entity Type | Individual |
| Full Name | CATIECHA L EDWARDS |
| Practice Address |
1162 Franklin St Grenada MS 38901-4237 |
| Practice Telephone | 6624179102 |
| Mailing Telephone | 6624179102 |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-04-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers | ||
| N | 207N00000X | Dermatology | 801849955 | MS | Allopathic & Osteopathic Physicians |
| Street Address |
1162 FRANKLIN ST |
| City | GRENADA |
| State | MS |
| Zip Code | 38901-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435118 | The Mane Physician | Prosthetic/Orthotic Supplier | 94 Spain Drive, Grenada, MS 38901 | 2020-04-08 |
| 1942842166 | Sylvia C Bass | Technician | 813 Union Street, Grenada, MS 38901 | 2019-10-09 |
| 1669971180 | Jenny Taylor | Nurse Practitioner | 350 Sunset Drive, Grenada, MS 38901 | 2018-02-10 |
| 1073912762 | John Thomas Mcree I | Counselor | 2026 Commerce St Ste 8e, Grenada, MS 38901 | 2014-08-19 |
| 1700213634 | State of Mississippi-university of Mississippi Medical Center | Home Health | 960 Avent Drive, Grenada, MS 38901 | 2013-10-10 |
| 1114359866 | Cmhp Enterprises | Dentist | 1420 Wooded Drive, Grenada, MS 38901 | 2013-08-05 |
| 1518256460 | Mercy Hospice LLC | Hospice Care, Community Based | 1410 Wooded Drive, Grenada, MS 38901 | 2011-03-31 |
| 1215256318 | Della Lea Welsh | Speech-Language Pathologist | 1321 Dd Sunset Dr., Grenada, MS 38901 | 2010-05-28 |
| 1750514543 | Family Health Care Clinic, Inc. | Clinic/Center | 1102 Telegraph St, Grenada, MS 38901 | 2009-08-27 |
| 1033384771 | Jason K Bennett | Pharmacist | 140 Shadow Wood Cv, Grenada, MS 38901 | 2008-04-24 |
| Find all providers in zip 38901 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715216 | Stacy Michelle Reed | Specialist | 121 Lonnie Jenkins Dr, Pearl, MS 39208-3520 | 2020-09-22 |
| 1962014100 | Orthotic & Prosthetic Solutions LLC | Specialist | 3670 Lakeland Ln # B-4, Jackson, MS 39216-4700 | 2020-08-19 |
| 1023653714 | Aundray Terall Shackelford | Specialist | 105 Rankin Blvd Ext, Tupelo, MS 38801-4611 | 2019-11-17 |
| 1194383398 | Candice Williams | Specialist | 820 N Gloster St, Tupelo, MS 38804-1949 | 2019-06-03 |
| 1992200950 | Cristy M Mathews | Specialist | 132 Paulding Rd, Leakesville, MS 39451-3073 | 2018-03-29 |
| 1386146520 | Jan A Jordan | Specialist | 1615 2nd Ave N, Columbus, MS 39701-4927 | 2018-03-04 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1649725409 | Tynita Steele | Specialist | 5304 Gautier Vancleave Rd, Gautier, MS 39553-4216 | 2016-08-22 |
| 1285097048 | The Lauren Forte Hair Loss Replacement Center | Specialist | 143 Laura Lake Rd, Vicksburg, MS 39180-9787 | 2016-03-30 |
| 1073975066 | Dermaine Antwan Johnson | Specialist | 3500 Highway 39 N Apt 77, Meridian, MS 39301-1339 | 2016-03-28 |
| 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.