MICAH A LADNER FNP-C LLC (NPI# 1861920407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861920407 |
| Entity Type | Organization |
| Organization Name | MICAH A LADNER FNP-C LLC |
| Practice Address |
22549 Fenton Dedeaux Rd Kiln MS 39556-6576 |
| Mailing Address |
Po Box 6571 Diamondhead MS 39525-6501 |
| Practice Telephone | 2284933404 |
| Practice Fax Number | 2284933404 |
| Mailing Telephone | 2284933404 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |
| Authorized Official Name | MICAH ANTHONY LADNER (OWNER) |
| Authorized Official Telephone | 2284933404 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
901609 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22549 FENTON DEDEAUX RD |
| City | KILN |
| State | MS |
| Zip Code | 39556-6576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003167529 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 6122 Cuevas Town Road, Kiln, MS 39556 | 2012-09-24 |
| 1568713071 | Hancock Medical Health Services | Nurse Practitioner | 4221 Kiln - Delisle Rd., Kiln, MS 39556 | 2012-09-24 |
| 1548511066 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7070 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1356692875 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 7084 Stennis Airport Dr., Kiln, MS 39556 | 2012-09-24 |
| 1205955283 | Dana Hal Jones | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
| 1447549761 | Kiln Dental Center LLC | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2011-04-07 |
| 1952420937 | Martin Macrae Murphree | Dentist | 17094 Hwy 603, Kiln, MS 39556 | 2007-03-28 |
| 1922338037 | Cynthia Lee Dedeaux | Specialist/Technologist | 21271 Lawrence Ladner Rd, Kiln, MS 39556-6490 | 2010-01-12 |
| 1417134230 | Bridget Ann Pendley | Licensed Practical Nurse | 22463 Fenton Dedeaux Rd, Kiln, MS 39556-6578 | 2008-01-23 |
| 1164804191 | Lexie Jo Cupp | Behavioral Analyst | 17095 Fenton Dedeaux Rd, Kiln, MS 39556-6931 | 2015-06-25 |
| Find all providers in zip 39556 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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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.