CARROL ANN HUDSPETH (NPI# 1366888737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366888737 |
Entity Type | Individual |
Full Name | CARROL ANN HUDSPETH |
Practice Address |
1134 E Broad St Monticello MS 39654-7681 |
Mailing Address |
Po Box 1337 Monticello MS 39654-1337 |
Practice Telephone | 6015879226 |
Mailing Telephone | 6015879226 |
Enumeration Date | 2013-05-13 |
Last Update Date | 2013-05-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
251QA0600X | MS | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MS | 07684032 | 05 |
Street Address |
1134 E BROAD ST |
City | MONTICELLO |
State | MS |
Zip Code | 39654-7681 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013353309 | Adjr, LLC | Day Training, Developmentally Disabled Services | 1134 E Broad St, Monticello, MS 39654-7681 | 2013-05-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
1700344066 | Southwest Mississippi Regional Medical Center | Surgery | 1065 E Broad St., Monticello, MS 39654 | 2019-03-06 |
1457862229 | Susan Nevels | Pharmacist | 1509 Highway 84 West, Monticello, MS 39654 | 2017-10-19 |
1326565417 | David Warren Ready | Pharmacist | 1509 Hwy 84 West, Monticello, MS 39654 | 2017-08-29 |
1861664575 | James Mikel Griffith II | Physical Therapy Assistant | 314 Main St, Ste C, Monticello, MS 39654 | 2008-04-02 |
1811169840 | Southwest Mississippi Planning and Development District | Clinic/Center | 1477 Fe Sellers Highway, Monticello, MS 39654 | 2008-03-31 |
1447429089 | Foot and Wound Institute of The South | Clinic/Center | 157 Fe Sellers Highway, Monticello, MS 39654 | 2008-02-28 |
1346431566 | Amy Eaton Broome | Physical Therapy Assistant | 314 Main St Ste C, Monticello, MS 39654 | 2007-08-05 |
1881804532 | Chris Gilbert Boyd | Dentist | 716 Brookhaven Street, Monticello, MS 39654 | 2007-05-23 |
1851463707 | Brantley B. Pace | Family Medicine | 713 Watts St., Monticello, MS 39654 | 2006-11-15 |
Find all providers in zip 39654 |
Taxonomy Code | 103TA0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Adult Development & Aging |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952827560 | Shelia Anderson | Psychologist | 480 S Captain Gloster Dr, Gloster, MS 39638-3700 | 2017-08-15 |
1174953525 | Sharkey-issaquena Adult Daycare | Psychologist | 449 Oakland Drive, Greenville, MS 38701 | 2013-11-21 |
1548265416 | Nona Faye Owens | Psychologist | 5509 Old Highway 80, Bolton, MS 39041-9191 | 2005-06-16 |
1619476413 | Karlyn Elizabeth Boling | Psychologist | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2018-02-07 |
1629372115 | Olga Vadymound Berkout | Psychologist | 303 N Madison St, Corinth, MS 38834-5072 | 2010-12-27 |
City | MONTICELLO |
Zip Code | 39654 |
Please comment or provide details below to improve the information on CARROL ANN HUDSPETH.
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.