MISS RACHEL LORRAINE STATEN


Address: 112 Grand Ole Oaks Dr, Apt # 2, Belden, MS 38826-7014
Phone: 6622692105

MISS RACHEL LORRAINE STATEN (NPI# 1124359229) 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) 1124359229
Entity Type Individual
Full Name MISS RACHEL LORRAINE STATEN
Credential PMHNP
Practice Address 112 Grand Ole Oaks Dr
Apt # 2
Belden
MS 38826-7014
Practice Telephone 6622692105
Mailing Telephone 6622692105
Enumeration Date 2010-01-29
Last Update Date 2012-03-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R883957 MS Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 08855320 05

Office Location

Street Address 112 GRAND OLE OAKS DR
APT # 2
City BELDEN
State MS
Zip Code 38826-7014

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NPI Name Taxonomy Address Enumeration
1457907248 Tanya Sanderson Nurse Practitioner 4208 Ridgemont Drive, Belden, MS 38826 2019-08-16
1285085092 Rhea Brown Specialist/Technologist 128 Brandywine Rd, Belden, MS 38826 2016-06-23
1265445472 Rebecca Butler Nurse Practitioner 2885 Mccullough Blvd, Belden, MS 38826 2006-08-15
1679800841 Express Care West, LLC Clinic/Center 2885 Mccullough Blvd, Belden, MS 38826 2009-11-10
1215186028 James L Burrell Jr. Nurse Practitioner 2885 Mccullough Blvd, Belden, MS 38826 2008-09-17
1750318150 Beneficial Pharmaceutical Supply LLC Pharmacy 2445 Mccullough Blvd, Belden, MS 38826 2006-06-28
1023324944 Christopher Morris Weaver Contractor 1700 Thicket Cv, Belden, MS 38826-6008 2010-08-30
1922315761 Carla Quinn Weaver Speech-Language Pathologist 1700 Thicket Cv, Belden, MS 38826-6008 2010-08-31
1124471131 1st Step Medical PC Family Medicine 3104 Adams Farm Rd, Belden, MS 38826-7020 2016-07-14
1053625012 Frankie Edward Stanley Psychiatry & Neurology 2497 Wendover Dr, Belden, MS 38826-8629 2010-08-02
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City BELDEN
Zip Code 38826

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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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