COASTAL PLAINS INTERAGENCY COORDINATING COUNCIL (NPI# 1962739722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962739722 |
| Entity Type | Organization |
| Organization Name | COASTAL PLAINS INTERAGENCY COORDINATING COUNCIL |
| Practice Address |
4063 Ginger Drie Suite A D'lberville MS 39540-3705 |
| Practice Telephone | 2288962824 |
| Practice Fax Number | 2288962825 |
| Mailing Telephone | 2288962824 |
| Mailing Fax Number | 2288962825 |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2019-08-16 |
| Authorized Official Name | MS. JUDY BURCHFIELD ROWE (CHAIRPERSON) |
| Authorized Official Telephone | 2288962824 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT0399 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4063 GINGER DRIE SUITE A |
| City | D'LBERVILLE |
| State | MS |
| Zip Code | 39540-3705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528347531 | Lindsey Rachelle Cuevas | Pharmacist | 10551 D'iberville Blvd, D'iberville, MS 39540 | 2011-08-08 |
| 1750438255 | Andrea L Davis | Dentist | 11505 Cinema Drive, Suite 6, D'iberville, MS 39540 | 2007-01-05 |
| 1750308250 | South Mississippi Urgent Care | Clinic/Center | 3661 Sangani Blvd, Suite E, Dlberville, MS 39540 | 2006-07-17 |
| 1568948016 | Courtney Leigh Ponder | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2018-07-18 |
| 1134635360 | Southern Regional Chiropractic and Rehabilitation Center | Nurse Practitioner | 11505 Cinema Dr Ste 7, Diberville, MS 39540 | 2017-12-26 |
| 1487177481 | Walgreen Co | Pharmacy | 4031 Popps Ferry Rd Ste A, Diberville, MS 39540 | 2017-07-21 |
| 1891151817 | Total Renal Care Inc | Clinic/Center | 3200 Mallett Rd, Ste F, Diberville, MS 39540 | 2016-01-06 |
| 1679944763 | Katelyn Elizabeth Martin | Behavioral Analyst | 4061 Suzanne Dr, Diberville, MS 39540 | 2015-10-14 |
| 1467880922 | Carla Diane Diffenderfer | Nurse Practitioner | 11516 Lamey Bridge Rd Ste I, Diberville, MS 39540 | 2013-10-21 |
| 1982618369 | Becky F Hollibaugh | Family Medicine | 3920 Promenade Pkwy, Biloxi, MS 39540 | 2006-07-28 |
| Find all providers in zip 39540 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376916544 | Tracie Lee Thornton | Physical Therapist | 11 Dempsey Conn Rd, Hattiesburg, MS 39401-9041 | 2015-11-09 |
| 1407270333 | Creative Connections, Pllc | Physical Therapist | 4094 W Topisaw S, Summit, MS 39666-9785 | 2014-02-12 |
| 1184976037 | Kalyn Mcnair Dragon | Physical Therapist | 11845 River Estates Cir, Biloxi, MS 39532-8603 | 2012-10-02 |
| 1780978502 | Sporty Sprouts Inc | Physical Therapist | 104 Faith Way, Brandon, MS 39042-8676 | 2011-06-09 |
| 1174721047 | Kimberly Garrett Cooper | Physical Therapist | 112 Riverbend Cv, Brandon, MS 39047-8647 | 2007-07-03 |
| 1447371877 | Bethany B. Dill | Physical Therapist | 3815 Beauville Cv, Ocean Springs, MS 39564-8583 | 2007-04-03 |
| 1417560913 | Mckenzie Alexandra Mcclanahan | Physical Therapist | 1751 Dancy Blvd Ste 2, Horn Lake, MS 38637-1916 | 2020-08-25 |
| 1629680277 | Elizabeth Sueing C Sueing | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-08-17 |
| 1336758267 | Rachel Blake Tyrone | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2020-07-27 |
| 1245871664 | Kari Schumann | Physical Therapist | 83 Airways Pl, Southaven, MS 38671-5885 | 2019-10-07 |
| Find all providers with the same taxonomy | ||||
| City | D'LBERVILLE |
| Zip Code | 39540 |
Please comment or provide details below to improve the information on COASTAL PLAINS INTERAGENCY COORDINATING COUNCIL.
| 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.