MRS. MARCELLA ROBERTS (NPI# 1538582531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538582531 |
| Entity Type | Individual |
| Full Name | MRS. MARCELLA ROBERTS |
| Credential | CNP |
| Practice Address |
300 Rawls Dr Ste 600 Mccomb MS 39648-2877 |
| Mailing Address |
Po Box 490 Mccomb MS 39649-0490 |
| Practice Telephone | 6012494415 |
| Practice Fax Number | 6012494474 |
| Mailing Telephone | 6012492701 |
| Mailing Fax Number | 6012492195 |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2017-02-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | R867044 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
867044 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 01682070 | 05 |
| Street Address |
300 RAWLS DR STE 600 |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990732 | Wendy Haydel Blue | Physical Therapist | 300 Rawls Dr, Ste 700a, Mccomb, MS 39648-2872 | 2005-05-24 |
| 1225499452 | Jennifer Meilstrup | Nurse Practitioner | 300 Rawls Dr, Mccomb, MS 39648-2877 | 2016-03-16 |
| 1306226865 | Celena A Dalton | Nurse Practitioner | 300 Rawls Dr, 1500, Mccomb, MS 39648-2877 | 2015-05-31 |
| 1730587767 | Kathryn Amanda Arnold | Nurse Practitioner | 300 Rawls Dr, Suite 1500, Mccomb, MS 39648-2877 | 2014-12-08 |
| 1396156683 | Mississippi State Department of Health | Public Health or Welfare | 300 Rawls Dr, Suite 500, Mccomb, MS 39648-2877 | 2014-05-08 |
| 1578719225 | Orthopaedic Clinics of Sw Mississippi Pa | Specialist | 300 Rawls Dr, Medical Arts Building Suite 400, Mccomb, MS 39648-2877 | 2008-08-13 |
| 1093972929 | Ellen K Haddad | Psychiatry & Neurology | 300 Rawls Dr, Suite 1000, Mccomb, MS 39648-2877 | 2008-05-19 |
| 1730367574 | Benjamin Simo | Specialist | 300 Rawls Dr, Suite 1000, Mccomb, MS 39648-2877 | 2008-02-04 |
| 1043421167 | Rosalin Marie Landrews | Social Worker | 300 Rawls Dr, Suite 900, Mccomb, MS 39648 | 2007-05-24 |
| 1265563423 | Bert S. Haydel | Physical Therapist | 300 Rawls Dr, Suite 700a, Mccomb, MS 39648-2877 | 2007-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635166 | Alisa Britney Kelley | Nurse Practitioner | 1023 Chesterfield Dr, Mccomb, MS 39648-9560 | 2020-07-04 |
| 1619530425 | Latoya R Cameron | Nurse Practitioner | 1080 Great Point Rd, Mccomb, MS 39648-4753 | 2019-04-17 |
| 1548763980 | Coeva Barnes Gatlin | Nurse Practitioner | 220 W Georgia Ave, Mccomb, MS 39648-3222 | 2018-03-12 |
| 1821505769 | Tonya Brister | Nurse Practitioner | 521 Marion Ave, Mccomb, MS 39648-2009 | 2017-12-31 |
| 1982012548 | John Harvey | Nurse Practitioner | 1015 Delaware Ave # C, Mccomb, MS 39648-3827 | 2014-07-28 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1942384607 | Helen Chao Whittington | Nurse Practitioner | 908 Delaware Ave, Suite B, Mccomb, MS 39648-3826 | 2006-10-25 |
| 1881797330 | Terrilyn Lewis | Nurse Practitioner | 405 Marion Ave, Mccomb, MS 39648-2709 | 2006-09-07 |
| 1962451302 | Llewellyn Coon | Nurse Practitioner | 1015 Delaware Ave Ste C, Mccomb, MS 39648-3827 | 2006-05-10 |
| 1831799022 | Carrie Lee Fernald | Nurse Practitioner | 215 Marion Ave, Mccomb, MS 39648-2705 | 2020-10-28 |
| Find all providers in MCCOMB | ||||
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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.