JONATHAN TRAHAN (NPI# 1326584822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326584822 |
| Entity Type | Individual |
| Full Name | JONATHAN TRAHAN |
| Practice Address |
200 Country Club Rd Carriere MS 39426-9037 |
| Practice Telephone | 6017994777 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
901907 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 COUNTRY CLUB RD |
| City | CARRIERE |
| State | MS |
| Zip Code | 39426-9037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407837503 | Ahmad A Haidar | Internal Medicine | 200 Country Club Rd, Carriere, MS 39426-9037 | 2005-11-07 |
| 1285108662 | Sara A Duncan | Family Medicine | 200 Country Club Rd, Carriere, MS 39426 | 2019-01-18 |
| 1891150629 | Picayune Pediatrics LLC | Preferred Provider Organization | 200 Country Club Rd, Carriere, MS 39426-9037 | 2015-12-21 |
| 1215277652 | Kids Klinic LLC | Clinic/Center | 200 Country Club Rd, Carriere, MS 39426-9037 | 2013-02-21 |
| 1619008174 | Forrest County General Hospital | Internal Medicine | 200 Country Club Rd, Carriere, MS 39426 | 2007-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689866477 | Lambert Dental PC | Dentist | 6480 Hwy 11 North, Carriere, MS 39426 | 2007-08-15 |
| 1427115641 | Aquatic Therapy Services, LLC | Clinic/Center | 10 Carrie Mitchell Rd, Carriere, MS 39426 | 2007-01-03 |
| 1679035273 | Align Health LLC | Non-emergency Medical Transport (VAN) | 74 Pops Rdg, Carriere, MS 39426-5142 | 2019-04-02 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1235200304 | John W Houston | Physical Therapist | 48 Camellia Rd, Carriere, MS 39426-7077 | 2006-11-12 |
| 1093927220 | Devereux and Nguyen LLC | Dentist | 6420 Highway 11, Suite C, Carriere, MS 39426-7145 | 2007-05-03 |
| 1790274603 | Gregory Goggans, D.m.d., P.C. | Dentist | 6420 Highway 11 N Ste C, Carriere, MS 39426-7146 | 2018-05-07 |
| 1407358146 | Melissa Loewen | Specialist/Technologist | 7407 Highway 11, Carriere, MS 39426-7484 | 2018-03-07 |
| 1679882690 | Ronald William Buie | Acupuncturist | 6682 Highway 11, Suite 103, Carriere, MS 39426-7554 | 2010-09-27 |
| 1386701944 | Debbie L Moore | Chiropractor | 6682 Highway 11 N, Suite 103, Carriere, MS 39426-7554 | 2007-01-03 |
| Find all providers in zip 39426 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053544155 | Lighthouse Healthcare Nanci W Parish Np, LLC | Nurse Practitioner | 6 Siebenkittel Cir, Suite E, Carriere, MS 39426-8777 | 2009-08-24 |
| 1871935189 | Jason Evan Carr | Nurse Practitioner | 6941 Highway 11, Suite A, Carriere, MS 39426-7793 | 2013-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| 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.