BEVERLY FORREST-BUTTS (NPI# 1083171334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083171334 |
| Entity Type | Individual |
| Full Name | BEVERLY FORREST-BUTTS |
| Practice Address |
407 Nw Depot St Durant MS 39063-3705 |
| Mailing Address |
510 Church St Winona MS 38967-2802 |
| Practice Telephone | 6622300947 |
| Mailing Telephone | 6622300947 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
802066241 | MS | Ambulatory Health Care Facilities |
| Street Address |
407 NW DEPOT ST |
| City | DURANT |
| State | MS |
| Zip Code | 39063-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912433459 | S&m Medical Clinic | Clinic/Center | 403 Northwest Depot Street, Durant, MS 39063 | 2017-05-03 |
| 1649573833 | Sharon B Lofton | Nurse Practitioner | 33795 Ms-12, Durant, MS 39063 | 2010-12-10 |
| 1922317262 | James Myers Ferguson | Pharmacist | 33674 Hw 12, Durant, MS 39063 | 2010-10-05 |
| 1497073191 | Durant Public School District | Local Education Agency (LEA) | 65 West Madison Street, Durant, MS 39063 | 2010-05-06 |
| 1902923527 | Mallory Community Health | Clinic/Center | 33795 Highway 12 East, Durant, MS 39063 | 2007-03-26 |
| 1952333999 | Freds Stores of Tennessee Inc | Pharmacy | 33674 Highway 12, Durant, MS 39063-2602 | 2006-07-07 |
| 1033733951 | Bonita T Roby | Licensed Practical Nurse | 1762 Eddisville Rd, Durant, MS 39063-2910 | 2020-06-05 |
| 1124100813 | Durant Primary Care Clinic | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2006-10-20 |
| 1497843676 | Wirt Fletcher Shrock Jr. | Family Medicine | 630 Northwest Ave, Durant, MS 39063-3337 | 2006-10-11 |
| 1306111984 | Peace Wellness Center, LLC | Clinic/Center | 638 Northwest Ave, Durant, MS 39063-3337 | 2012-03-15 |
| Find all providers in zip 39063 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619306131 | Michael Stewart | Clinic/Center | 495 Nw Depot St, Durant, MS 39063-3705 | 2013-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662626 | Hair Rehab | Clinic/Center | 313 Holland St, Anguilla, MS 38721-3872 | 2020-09-04 |
| 1326688185 | Brittney Debose | Clinic/Center | 16016 Lemoyne Blvd Apt 912, Biloxi, MS 39532-5186 | 2020-01-09 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1215575675 | The Abigayle Adult Day Care | Clinic/Center | 205 Industrial Cv, Ridgeland, MS 39157-2715 | 2019-12-17 |
| 1053977298 | Cal-wal Southern, LLC | Clinic/Center | 114 W Walker St, Greenville, MS 38701-4755 | 2019-05-14 |
| 1023574183 | Quality Lives Assisted Living LLC | Clinic/Center | 226 Pauline St, Greenville, MS 38701-7012 | 2019-02-13 |
| 1619431210 | Deborah D Gibbs | Clinic/Center | 1403 S Broadway, Shelby, MS 38774 | 2019-01-28 |
| 1346712023 | Faith and Hope Adult Daycare | Clinic/Center | 737 N State St, Jackson, MS 39202-3006 | 2018-12-19 |
| 1013488923 | Covenant Adult Day Care of Tunica | Clinic/Center | 1041 Highway 61 S Ste 3, Tunica, MS 38676-9130 | 2018-12-17 |
| 1629550363 | Fondren Nightingales Senior Day Retreat Co | Clinic/Center | 3321 N West St, Jackson, MS 39216-3039 | 2018-08-29 |
| 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.