JULIE T TRICE (NPI# 1184626905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184626905 |
Entity Type | Individual |
Full Name | JULIE T TRICE |
Credential | CRNP |
Practice Address |
3407 Shamrock Ct Gautier MS 39553 |
Mailing Address |
3929 Airport Blvd Ste 1-206 Mobile AL 36609-2233 |
Practice Telephone | 2284970690 |
Practice Fax Number | 2284971363 |
Mailing Telephone | 2517219649 |
Enumeration Date | 2005-08-11 |
Last Update Date | 2020-03-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
658766 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-053065 | AL | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 00018214 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3407 Shamrock Ct, Gautier, MS 395535337 | 2284970690 | 2284971363 |
Street Address |
3407 SHAMROCK CT |
City | GAUTIER |
State | MS |
Zip Code | 39553 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144820689 | Erica Lynn Holden | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-10-26 |
1588271100 | Kayla Mitchell | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-09-28 |
1134733967 | Elizabeth Ann Shepard-bynum | Peer Specialist | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-31 |
1336751916 | Courtney Dale Trull | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-08-17 |
1073138509 | Thomas Gregory Hicks | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-06-10 |
1588287148 | Kaitlyn Hinton | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-18 |
1043832140 | Brenda Gail Miller | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2020-05-12 |
1639716517 | Chiquita Walker | Counselor | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
1629615505 | Alexusia Jones | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-12-10 |
1124663125 | Ashley Lauren Tatham | Case Manager/Care Coordinator | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2019-11-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
Find all providers in zip 39553 |
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 |
---|---|---|---|---|
1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
1437648854 | Ramona Rachel Girley | Nurse Practitioner | 3704 Shamrock Ct, Gautier, MS 39553-5327 | 2018-05-02 |
1427374545 | Amanda Ann Campbell | Nurse Practitioner | 3407 Shamrock Ct, Gautier, MS 39553-6429 | 2010-04-14 |
1730285602 | Rose Ellen Clifford | Nurse Practitioner | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2006-09-16 |
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 |
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 |
1457998965 | Katie Mae Spann | Nurse Practitioner | 1510 Hawthorne Pl, Clinton, MS 39056-3911 | 2019-12-03 |
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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.