FELICIA KEYS (NPI# 1497187512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497187512 |
| Entity Type | Individual |
| Full Name | FELICIA KEYS |
| Credential | NP-C |
| Practice Address |
117 S 11th Ave Laurel MS 39440-4312 |
| Practice Telephone | 6014253033 |
| Practice Fax Number | 6014256561 |
| Mailing Telephone | 6014253033 |
| Mailing Fax Number | 6014256561 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
R876242 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP134037 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | LICENSE | R876242 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1759 Broad Park Cir S Ste 113, Mansfield, TX 760637836 | 8174731312 | 8669902813 |
| Street Address |
117 S 11TH AVE |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831195536 | Gayla B. Glenn | Dietitian, Registered | 117 S 11th Ave, Laurel, MS 39440-4312 | 2005-06-27 |
| 1932739034 | Family Health Center, Inc. | Bus | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-17 |
| 1508406802 | Jessica Lynn Anderson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2020-01-14 |
| 1093373110 | Sarah Nicole Thames | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2019-06-04 |
| 1386197697 | Scott Fowler | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-08-03 |
| 1477919603 | Family Health Center, Inc. | Clinic/Center | 117 S 11th Ave, Laurel, MS 39440-4312 | 2016-01-04 |
| 1649666744 | Sheree Lamara Conley-donaldson | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1548656614 | Lashundra Shanett Speights | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2015-04-15 |
| 1245648104 | Casey Herrington | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2014-07-23 |
| 1780927442 | Ladonna Michelle Phillips | Nurse Practitioner | 117 S 11th Ave, Laurel, MS 39440-4312 | 2013-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417096124 | Barbara Ann White | Nurse Practitioner | 13 C St, Suite G, Laurel, MD 20707-4152 | 2007-02-06 |
| 1043595648 | Barbara A White Msn Crnp Inc | Nurse Practitioner | 13 C St, Suite G, Laurel, MD 20707-4152 | 2011-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003443458 | Nicole Sherice Taylor | Nurse Practitioner | 845 South Gloster Street, Tupelo, MS 38801 | 2020-03-25 |
| 1316500887 | Hollie Waldron | Nurse Practitioner | 408 Council Cir Ste C, Tupelo, MS 38801-4949 | 2019-04-19 |
| 1063975621 | Sheila Ann Frederick | Nurse Practitioner | 65 Patton Cemetary Rd, Fulton, MS 38843-9353 | 2019-04-10 |
| 1992263685 | Nadine Theresa James | Nurse Practitioner | 1214 Velma St, Hattiesburg, MS 39402-2751 | 2019-03-12 |
| 1396202396 | Roxane Theresa Moncure | Nurse Practitioner | 919 Rutherford Dr, Jackson, MS 39206-2033 | 2019-02-26 |
| 1750889416 | Katherine Bolden | Nurse Practitioner | 1666 Highway 19 S, Meridian, MS 39301-8209 | 2018-01-29 |
| 1306350129 | Tamika M Broome | Nurse Practitioner | 350 W Woodrow Wilson Ave # 411, Jackson, MS 39213-7681 | 2017-12-01 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1134589930 | Rebecca L. Cauthen | Nurse Practitioner | 885 Liberty Rd Ste 300, Flowood, MS 39232-9006 | 2016-03-07 |
| 1114399284 | Kristie G Jenkins | Nurse Practitioner | 2908 S Lamar Blvd, Suite 100, Oxford, MS 38655-5354 | 2015-10-28 |
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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.