NICOLE ANDERSON-WEISS (NPI# 1790704120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790704120 |
| Entity Type | Individual |
| Full Name | NICOLE ANDERSON-WEISS |
| Credential | M.D. |
| Practice Address |
1053 River Oaks Dr Flowood MS 39232-9595 |
| Practice Telephone | 6019691430 |
| Practice Fax Number | 6017092117 |
| Mailing Telephone | 6019691430 |
| Mailing Fax Number | 6017092117 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 17868 | MS | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 03209574 | 05 | |
| MS | STATE LICENSE NUMBER | 17868 | 01 |
| Street Address |
1053 RIVER OAKS DR |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-9595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932189628 | Larry D Stephens Jr. | Nurse Anesthetist, Certified Registered | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-01-19 |
| 1114467172 | Bomee Kim | Optometrist | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2017-02-24 |
| 1629418066 | Marc Allen Richardson | Ophthalmology | 1053 River Oaks Dr, Flowood, MS 39232 | 2013-06-30 |
| 1932207669 | Eye Surgical Center of Mississippi | Clinic/Center | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-09-20 |
| 1679686984 | Loy Willard Nations Jr. | Optometrist | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-08-17 |
| 1962412429 | Mississippi Vision Correction Center, Pllc | Specialist | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-08-08 |
| 1700805363 | Leslie Brannon Aden | Ophthalmology | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-07-18 |
| 1174558712 | William M Aden | Ophthalmology | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336484633 | Webbie A Nolden | Specialist | 438 Katherine Dr, Flowood, MS 39232-8803 | 2012-11-28 |
| 1881789485 | Glenn F Morris | Specialist | 4290 Lakeland Drive, Ste A, Flowood, MS 39232 | 2006-10-03 |
| 1710903380 | Somnus Sleep Clinic of Central Mississippi, LLC | Specialist | 1006 Treetops Blvd, Suite 102, Flowood, MS 39232-7645 | 2006-07-15 |
| 1528094851 | Orhan Ilercil | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2006-06-26 |
| 1063460178 | Stricker Coles Mays II | Specialist | 4814 Lakeland Dr, Flowood, MS 39232-8694 | 2006-05-04 |
| 1255329371 | Suthin Songcharoen | Specialist | 2550 Flowood Dr, #300, Flowood, MS 39232-9303 | 2005-10-12 |
| 1679905210 | Mississippi Ear, Nose and Throat Surgical Associates, PC | Specialist | 2550 Flowood Dr, Suite 303, Flowood, MS 39232-9303 | 2013-08-06 |
| 1679844864 | Trinity Pain Consultants, Pllc | Specialist | 120 Stone Creek Blvd, Suite 500, Flowood, MS 39232-8205 | 2012-01-19 |
| 1952610826 | The Heart Clinic, LLC | Specialist | 1040 River Oaks Dr, Suite 100 Professional Center, Flowood, MS 39232-9530 | 2010-09-27 |
| 1356671556 | Mississippi Brain and Spine, Pllc | Specialist | 1 Layfair Dr, Suite 120, Flowood, MS 39232-9717 | 2010-01-11 |
| Find all providers in FLOWOOD | ||||
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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.