KELLEY POUNDS (NPI# 1134656812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134656812 |
| Entity Type | Individual |
| Full Name | KELLEY POUNDS |
| Credential | RN, CDE |
| Practice Address |
5909 U S Highway 49 Suite 30 Hattiesburg MS 39402-2860 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6012962780 |
| Practice Fax Number | 6012962781 |
| Mailing Telephone | 6012962780 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
R888508 | MS | Nursing Service Providers |
| Street Address |
5909 U S HIGHWAY 49 SUITE 30 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-2860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184668584 | Elizabeth White | Nurse Practitioner | 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 | 2006-06-15 |
| 1649880543 | Allison Joy Finch | Physician Assistant | 5909 U S Highway 49, Hattiesburg, MS 39402-2860 | 2020-08-05 |
| 1356759138 | Janet Hudson | Dietitian, Registered | 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 | 2014-07-24 |
| 1871807776 | Linda R Gwaltney | Dietitian, Registered | 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 | 2010-08-03 |
| 1174733216 | Healthworks, LLC | Family Medicine | 5909 U S Highway 49, Hattiesburg, MS 39402-2860 | 2007-05-23 |
| 1205924263 | Hattiesburg Clinic Pa | Family Medicine | 5909 U S Highway 49, Hattiesburg, MS 39402-2860 | 2006-10-11 |
| 1588750418 | Hattiesburg Clinic Pa | Internal Medicine | 5909 U S Highway 49, Suite 30, Hattiesburg, MS 39402-2860 | 2006-10-05 |
| 1275547564 | Kenneth L Gooch | Emergency Medicine | 5909 U S Highway 49, Suite 20, Hattiesburg, MS 39402-2860 | 2006-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 163WD0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Diabetes Educator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831717347 | Jennifer Ann Taylor | Registered Nurse | 29436 Ms Highway 32, Charleston, MS 38921-6602 | 2020-07-10 |
| 1699054403 | Margrett R. Davis | Registered Nurse | 350 W Woodrow Wilson Ave Ste 107, Jackson, MS 39213-7682 | 2011-08-10 |
| 1548626575 | Keisha Pruitt Luckey | Registered Nurse | 2500 N State St, 2500 North State Street, Jackson, MS 39216-4500 | 2016-01-06 |
| 1073996005 | North Mississippi Medical Clinics Inc | Registered Nurse | 410 Council Cir, Tupelo, MS 38801-4938 | 2015-07-08 |
| 1164815940 | Michael James Furlow | Registered Nurse | 1860 Chadwick Dr Ste 305, Jackson, MS 39204-3467 | 2015-03-18 |
| 1477872281 | Judith M Champion | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| 1477872273 | Toni L. Cooper | Registered Nurse | 1040 River Oaks Dr, Ste. 302, Jackson, MS 39232-9530 | 2010-05-19 |
| City | HATTIESBURG |
| Zip Code | 39402 |
Please comment or provide details below to improve the information on KELLEY POUNDS.
| 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.