ERICA CLANAHAN (NPI# 1831619626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831619626 |
Entity Type | Individual |
Full Name | ERICA CLANAHAN |
Practice Address |
2124 14th St Meridian MS 39301-4040 |
Mailing Address |
1310 Lotts Ferry Rd Butler AL 36904-3267 |
Practice Telephone | 6015536000 |
Enumeration Date | 2017-06-22 |
Last Update Date | 2017-06-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
1-112196 | MS | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2124 14TH ST |
City | MERIDIAN |
State | MS |
Zip Code | 39301-4040 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932181146 | Deborah Sims Parten | Nurse Anesthetist, Certified Registered | 2124 14th St, Suite 202, Meridian, MS 39301-4040 | 2005-11-15 |
1023624467 | Lekica Roshelle Boyd | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2020-09-21 |
1437768272 | Elaine Blount Rigdon | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2020-07-28 |
1801405923 | Melinda Bozeman | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2020-07-24 |
1952936213 | Kevin Hatcher | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2020-03-06 |
1790325124 | Nancy Lynn Brown | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2020-01-14 |
1023658705 | Corinna Lynn Dorais | Dietitian, Registered | 2124 14th St, Meridian, MS 39301-4040 | 2020-01-10 |
1962045765 | Melissa Dedeaux | Registered Nurse | 2124 14th St, Meridian, MS 39301-4040 | 2019-10-24 |
1245889807 | Jamie Agent | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2019-09-06 |
1750846473 | Jessica Lewis | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2019-02-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
Find all providers in zip 39301 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629400734 | Brennan N Carmody | Nurse Practitioner | 520 S Eagle Rd, Ste 3209, Meridian, ID 83642-6351 | 2013-07-31 |
1164441143 | Kathleen A. Martin | Nurse Practitioner | 520 S Eagle Rd, Suite 3209, Meridian, ID 83642-6351 | 2006-07-19 |
1225008998 | Julie A Stevens | Nurse Practitioner | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
1669762902 | Stacey Marie Kreher | Nurse Practitioner | 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 | 2011-04-07 |
1174755359 | Innovative Health LLC | Nurse Practitioner | 501 Marshall St Ste 605, Jackson, MS 39202-1650 | 2009-08-20 |
1891814802 | Delta Physician Practices | Nurse Practitioner | 302 Arnold Ave, Greenville, MS 38701-4711 | 2007-03-29 |
1629116330 | Jean Lawes | Nurse Practitioner | 701 Yalobusha St, Greenwood, MS 38930-2015 | 2007-02-02 |
1669450425 | Melissa L Barnett | Nurse Practitioner | 1793 Cliff Gookin Blvd, Tupelo, MS 38801-6723 | 2006-01-03 |
1699157487 | Jada Elyse Vierling Hill | Nurse Practitioner | 715a Division St, Biloxi, MS 39530-2209 | 2015-06-29 |
1396017646 | Mary K Fouquier | Nurse Practitioner | 1207 N West St, Jackson, MS 39202-2018 | 2012-02-02 |
1407157118 | Carolann Risley | Nurse Practitioner | 4600 Vega St, Pascagoula, MS 39581-5303 | 2010-11-11 |
1790091304 | North Mississippi Medical Center | Nurse Practitioner | 4566 S Eason Blvd, Tupelo, MS 38801-6540 | 2010-08-20 |
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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.