CARLY O'NEAL (NPI# 1992286777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992286777 |
| Entity Type | Individual |
| Full Name | CARLY O'NEAL |
| Credential | PMHNP-BC |
| Practice Address |
2100 E Chambers Dr Booneville MS 38829-8938 |
| Mailing Address |
112 Englewood Cv Saltillo MS 38866-8725 |
| Practice Telephone | 6622869883 |
| Mailing Telephone | 6623974574 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
902870 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | PMHNP | 902870 | 01 |
| Street Address |
2100 E CHAMBERS DR |
| City | BOONEVILLE |
| State | MS |
| Zip Code | 38829-8938 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043445166 | Kathryn Gann Murff | Counselor | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2009-05-19 |
| 1467936245 | Brianna Jackson | Counselor | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2018-09-18 |
| 1649759457 | Ryleigh Follin Austin | Social Worker | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2018-08-13 |
| 1588025092 | Sandra Garner | Social Worker | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2016-03-10 |
| 1063873735 | Danita Godwin | Case Manager/Care Coordinator | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2016-03-09 |
| 1952761223 | Alan Gammill | Counselor | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2016-03-01 |
| 1235408451 | Carrie Ann Bullock | Case Manager/Care Coordinator | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2011-12-16 |
| 1841576766 | Stephanie Ann Butler Flake | Registered Nurse | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2011-10-24 |
| 1972817112 | Krissi Robinson | Counselor | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2010-07-29 |
| 1588978720 | Chester Meeks | Counselor | 2100 E Chambers Dr, Booneville, MS 38829-8938 | 2010-07-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962029249 | Ortho Express Holding Company, LLC | Clinic/Center | 608 W Church St, Booneville, MS 38829 | 2020-07-02 |
| 1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
| 1396210274 | Hooper Transportation LLC | Private Vehicle | 105 Jacinto Heights, No 2, Booneville, MS 38829 | 2018-10-08 |
| 1699251314 | John L Hooper | Driver | 105 Jacinto Heights No 2, Booneville, MS 38829 | 2018-07-16 |
| 1750744389 | Jeni Ramey | Social Worker | 214 Dogwood Estates, Booneville, MS 38829 | 2016-03-31 |
| 1770944977 | Judy Dillard | Peer Specialist | 2100 Chambers Drive, Booneville, MS 38829 | 2016-03-15 |
| 1508253295 | Mary Grace Hancock | Internal Medicine | 202 N 1st St Ste B, Booneville, MS 38829 | 2015-04-20 |
| 1508042722 | Mary Dean Stone | Registered Nurse | 2100 East Chamberss, Booneville, MS 38829 | 2008-01-17 |
| 1144406430 | Amy Cole | Registered Nurse | 2100 East Chambers, Booneville, MS 38829 | 2008-01-16 |
| 1972715118 | Rita D. Jones | Nurse Practitioner | 1907 South Lake Street, Booneville, MS 38829 | 2007-05-03 |
| Find all providers in zip 38829 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184844466 | Kellye Garrett | Nurse Practitioner | 2100 East Chambers Drive, Booneville, MS 38829 | 2007-04-27 |
| 1184251795 | Tmk Enterprises | Nurse Practitioner | 100 Hospital St, Booneville, MS 38829-3354 | 2020-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | BOONEVILLE |
| Zip Code | 38829 |
Please comment or provide details below to improve the information on CARLY O'NEAL.
| 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.