MILESTONE PRIMARY CARE HOUSE CALLS, LLC


Address: 5260 Cedar Park Dr Ste E, Jackson, MS 39206-4131
Phone: 6015408260

MILESTONE PRIMARY CARE HOUSE CALLS, LLC (NPI# 1801447693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801447693
Entity Type Organization
Organization Name MILESTONE PRIMARY CARE HOUSE CALLS, LLC
Practice Address 5260 Cedar Park Dr Ste E
Jackson
MS 39206-4131
Practice Telephone 6015408260
Enumeration Date 2019-09-24
Last Update Date 2019-09-24
Authorized Official Name CASSANDRA WALTERS (OWNER)
Authorized Official Telephone 6015408260
Authorized Official Credential FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 07935206 05

Office Location

Street Address 5260 CEDAR PARK DR STE E
City JACKSON
State MS
Zip Code 39206-4131

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023661824 Latoya Lanette Trunell Occupational Therapy Assistant 787 East Northside Drive, Jackson, MS 39206 2019-07-20
1649839291 Andrew Harris Dentist 4505 I-55 Frontage Rd. N, Jackson, MS 39206 2019-06-07
1679065916 Savannah Lee Zachry Physical Therapist 5140 Galaxie Dr Ste 108, Jackson, MS 39206 2018-06-02
1669987723 Harmony House Calls LLC Nurse Practitioner 5140 Galaxie Dr Ste 105, Jackson, MS 39206 2017-12-11
1841719903 Yolanda Yvette Bell Nurse Practitioner 6064 Whitestone Rd, Jackson, MS 39206 2017-09-10
1760907117 Anthony Brown Jr. Physical Therapist 5411 I-55 North, Jackson, MS 39206 2017-08-07
1114457132 Ambric N Williams Occupational Therapy Assistant 6017 Whitestone Rd, Jackson, MS 39206 2017-06-13
1952835613 Peak Chiropractic Care, LLC Chiropractor 4915 I-55 North, Suite 201b, Jackson, MS 39206 2017-04-19
1447798293 Peterkin and Associates of Mississippi Inc Community/Behavioral Health 5155 Galaxie Drive, Suite F, Jackson, MS 39206 2017-02-01
1952844219 Jennifer Penick Counselor 460 Briarwood Drive, Suite 510, Jackson, MS 39206 2016-11-18
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093332546 Jaleesa Atkins Nurse Practitioner 4266 Springbrook Rd, Jackson, MI 49201-9716 2020-07-01
1457983785 Amos N Macharia Nurse Practitioner 2130 Ridge Rd, Jackson, MO 63755-1612 2020-02-05
1649819590 George Cavett Jr. Nurse Practitioner 2450 Twisted Oak Dr, Jackson, MS 39212-2137 2019-12-24
1851934723 Hannah Louise Keel Nurse Practitioner 623 Gettysburg Dr, Jackson, TN 38305-7886 2019-10-23
1013559186 Kirsten Siler Nurse Practitioner 27a Medical Center Drive, Jackson, TN 38301-3949 2019-10-10
1750855870 Michael L Chesney Nurse Practitioner 6055 Jordan Rd, Jackson, MI 49201-9580 2019-01-12
1609356500 Angela Sophia Mcreynolds Nurse Practitioner 2500 N State St Rm S347, Jackson, MS 39216-4500 2018-08-20
1679050132 Alicia Faye Green Nurse Practitioner 908 Bella Vista Dr, Jackson, MO 63755-7863 2018-07-26
1982119228 Felix Taylor Nurse Practitioner 514 E Woodrow Wilson Ave Ste B, Jackson, MS 39216-4538 2017-12-08
1427574524 Anamaria I Sandru Nurse Practitioner 389 N County Line Rd, Jackson, NJ 08527-4426 2017-08-21
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Competitor

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City JACKSON
Zip Code 39206

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Dataset Information

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.

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