ERICA WINDHAM


Address: 1220 Jefferson St, Laurel, MS 39440
Phone: 6013196808

ERICA WINDHAM (NPI# 1982195137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982195137
Entity Type Individual
Full Name ERICA WINDHAM
Credential FNP
Practice Address 1220 Jefferson St
Laurel
MS 39440
Mailing Address 204 Jordan Dr
Laurel
MS 39443-9221
Practice Telephone 6013196808
Mailing Telephone 6013196808
Enumeration Date 2018-05-23
Last Update Date 2018-06-06
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 902660 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1220 JEFFERSON ST
City LAUREL
State MS
Zip Code 39440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619973542 South Central Regional Medical Center General Acute Care Hospital 1220 Jefferson St, Laurel, MS 39440-4355 2005-06-24
1730799578 Holly Marie White Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2020-08-06
1407495492 David Caldwell Physician Assistant 1220 Jefferson St, Laurel, MS 39440-4355 2019-12-23
1659918084 Elizabeth Allen Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-12-04
1598300626 Nicole Nielsen Physical Therapist 1220 Jefferson St, Laurel, MS 39440-4355 2019-11-13
1437793163 Marty Jacob Brock Physical Therapist 1220 Jefferson St, Laurel, MS 39440-4355 2019-11-06
1881253557 Sarah M Wooten Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-06-06
1730742933 Hanna Rae Mccoy Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-04-15
1801372685 Anna Seals Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2018-07-16
1811414196 Leslie Ann Fisher Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2017-08-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306323159 Tender Loving Care Homecare LLC Homemaker 509 Central Ave Ste 224, Laurel, MS 39440 2018-07-24
1669837910 Laurel Dental Properties Dentist 1925 Pine Belt Drive, Laurel, MS 39440 2015-12-30
1215282991 South Central Regional Medical Center Clinic/Center 525 Wayne Drive, Laurel, MS 39440 2012-07-18
1568721215 Terry Ratcliff Perkins Counselor 5192 Hwy 11 North, Laurel, MS 39440 2012-05-15
1437453057 Alexander Milne Home for Women Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 616 East 19th Street, Laurel, MS 39440 2010-12-23
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1003096785 Family Health Center, Inc Obstetrics & Gynecology 103 S. 12th Avenue, Laurel, MS 39440 2007-11-09
1669672143 Laurel Urology Clinic Pa Urology 304 S 10th Ave, Laurel, MS 39440 2007-07-23
1093912370 Tanweer Hussain Majid Surgery 1007 Jefferson Street, Laurel, MS 39440 2007-06-29
1780889923 Hattiesburg Eye Clinic, Pa Ophthalmology 1431 North 10th St, Suite 1, Laurel, MS 39440 2007-06-18
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114583184 Patricia E. Asagaya Nurse Practitioner 14302 Stroud Ct, Laurel, MD 20707-9502 2019-05-15
1043686876 Akukeng Mba Nurse Practitioner 13208 Deerfield Rd, Laurel, MD 20708-2005 2015-08-16
1174829733 Kimberly Cabe Nurse Practitioner 601 N 15th Ave, Laurel, MS 39440-3839 2011-01-31
1710135629 Jeffrey R. Moffett Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2008-09-04
1427069418 Modupe A. Apassa Nurse Practitioner 13932 Baltimore Ave, Laurel, MD 20707-5000 2006-08-11
1013567445 Jessica Watson Lott Nurse Practitioner 404 S 13th Ave, Laurel, MS 39440-4345 2019-09-17
1376198697 Momoh Makieu Nurse Practitioner 13994 Baltimore Ave Ste 102, Laurel, MD 20707-5087 2019-08-04
1881253557 Sarah M Wooten Nurse Practitioner 1220 Jefferson St, Laurel, MS 39440-4355 2019-06-06
1265921985 North Laurel Family Medicine, LLC Nurse Practitioner 3115 Audubon Dr, Laurel, MS 39440 2018-05-08
1730605593 Brittany Poole Jones Nurse Practitioner 30 Circle J Dr Ste 1, Laurel, MS 39440-1981 2017-08-14
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Competitor

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City LAUREL
Zip Code 39440

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Dataset Information

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.

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