MARY SUE WATKINS (NPI# 1245323914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245323914 |
| Entity Type | Individual |
| Full Name | MARY SUE WATKINS |
| Credential | CFNP |
| Practice Address |
1014 Rose St Prentiss MS 39474-5271 |
| Mailing Address |
415 S 28th Ave Hattiesburg MS 39401-7246 |
| Practice Telephone | 6017922071 |
| Practice Fax Number | 6017928134 |
| Mailing Telephone | 6017967030 |
| Mailing Fax Number | 6015795240 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-11-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R733881 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R733881 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00117238 | 05 | |
| MS | RAILROAD MEDICARE | P00445055 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306003 | Mary Margaret Watkins | Pharmacist | 418 Thomas Farm Rd, Milan, GA 31060-4720 | 2019-10-05 |
| 1306891437 | Mary Edith Watkins | Counselor | 804 S Garnett St, Henderson, NC 27536-4571 | 2006-05-24 |
| 1386112480 | Mary Elizabeth Watkins | Physical Therapist | 701 Medical Park Dr, Hartsville, SC 29550-4777 | 2018-11-06 |
| 1538527197 | Mary Watkins | Technician | 408 E Broadway, Fairview, OK 73737-2110 | 2016-02-10 |
| 1962833608 | Mary Watkins | Registered Nurse | 2955 S Broadway, Englewood, CO 80113-1526 | 2013-12-05 |
| 1942583471 | Mary Watkins | Case Manager/Care Coordinator | 3810 Winchester Rd, Southeast Mental Health Center, Memphis, TN 38118-6045 | 2011-09-21 |
| 1821317801 | Mary Watkins | Counselor | 1019 Kinkead Rd, Mcalester, OK 74501-7704 | 2010-05-31 |
| 1972834521 | Mary B Watkins | Speech-Language Pathologist | 2806 Matthew Dr, Sedalia, MO 65301-7981 | 2010-01-21 |
| 1396924817 | Mary Lynn Watkins | Registered Nurse | 222 Tongass Dr, Sitka, AK 99835-9416 | 2007-11-01 |
| 1053451468 | Mary Elaine Watkins | Licensed Practical Nurse | 1997 Highway 51 S, Covington, TN 38019-3630 | 2007-02-07 |
| Street Address |
1014 ROSE ST |
| City | PRENTISS |
| State | MS |
| Zip Code | 39474-5271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043241946 | Prentiss Regional Hospital and Extended Care Facility, Inc. | Clinic/Center | 1014 Rose St, Suite A, Prentiss, MS 39474 | 2006-07-06 |
| 1104271931 | Rhonda Cox | Nurse Practitioner | 1014 Rose St, Prentiss, MS 39474-5271 | 2016-04-29 |
| 1689952707 | Forrest County General Hospital | Clinic/Center | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 | 2011-07-22 |
| 1245527902 | Laura Jackson Miller | Family Medicine | 1014 Rose St, Prentiss, MS 39474-5271 | 2011-07-01 |
| 1194745315 | Michele Bryant Mahaffey | Nurse Practitioner | 1014 Rose St, Suite A, Prentiss, MS 39474-5271 | 2006-07-20 |
| 1689692972 | Earl L Mahaffey | Family Medicine | 1014 Rose St, Jefferson Davis General Hospital, Prentiss, MS 39474-5271 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520794 | Caring Hands Staffing,llc | In Home Supportive Care | 1802 Columbia Ave, Prentiss, MS 39474 | 2018-05-31 |
| 1891183208 | Katie Daley Rush | Nurse Practitioner | 1014 Rose St., Ste. A, Prentiss, MS 39474 | 2015-01-07 |
| 1841621885 | Living Hope; LLC | Assisted Living Facility | 1287 Fred Street, Prentiss, MS 39474 | 2013-12-02 |
| 1922317197 | Martha Ann Stringer | Pharmacist | 1635 Columbia Ave., Prentiss, MS 39474 | 2010-10-05 |
| 1427361666 | Caring Hands Personal Care LLC | Home Health | 1814 Columbia Ave. Ste. B, Prentiss, MS 39474 | 2010-07-16 |
| 1063620110 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St, Prentiss, MS 39474 | 2007-05-21 |
| 1730308206 | James Russell Dumas Jr. | Dentist | 7115 Hwy 13, Prentiss, MS 39474 | 2007-04-24 |
| 1316076524 | Prentiss Regional Hospital and Ecf, Inc. | General Acute Care Hospital | 1102 Rose St., Prentiss, MS 39474 | 2007-03-05 |
| 1225167430 | Prentiss Regional Hospital and Ecf, Inc. | Skilled Nursing Facility | 1320 Winfield St., Prentiss, MS 39474 | 2007-03-05 |
| 1033292727 | Vonpatton's, LLC | Durable Medical Equipment & Medical Supplies | 2218 Columbia Ave, Prentiss, MS 39474 | 2006-10-24 |
| Find all providers in zip 39474 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912483405 | Twylia M. Aultman | Nurse Practitioner | 910 Second St, Prentiss, MS 39474-9117 | 2018-07-17 |
| 1104271931 | Rhonda Cox | Nurse Practitioner | 1014 Rose St, Prentiss, MS 39474-5271 | 2016-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913618 | Cynthia Marie Nonamaker | Nurse Practitioner | 4641 Ridge Rd, Columbus, MS 39705-2862 | 2020-08-23 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1093323461 | Lauren Elizabeth Boone | Nurse Practitioner | 3415 Shiloh Ln, Southaven, MS 38672-6045 | 2020-07-21 |
| 1558979229 | Adrianne Amanda Anderson | Nurse Practitioner | 8390 Ansley Park Ln, Southaven, MS 38672-8340 | 2020-07-20 |
| 1295343028 | Latesha Rochelle Williams | Nurse Practitioner | 309 Mcswain Rd, New Augusta, MS 39462-9760 | 2020-07-17 |
| 1316565914 | Youchoose | Nurse Practitioner | 10071 Imc Rd, Aberdeen, MS 39730-8408 | 2020-07-09 |
| 1891312948 | Courtney Rae Gordon | Nurse Practitioner | 601 Highway 80 E, Clinton, MS 39056-5122 | 2020-07-05 |
| 1568089977 | Kaitlin Johnson Hinton | Nurse Practitioner | 3275 Us 49 E, Collins, MS 39428 | 2020-07-01 |
| 1376169920 | Brittany Linton | Nurse Practitioner | 149 Fountains Blvd, Madison, MS 39110-6344 | 2020-06-19 |
| 1356960777 | Jennifer M Hunter | Nurse Practitioner | 8970 Lorraine Rd, Gulfport, MS 39503-4176 | 2020-04-15 |
| 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.