PAULA DECANTER FNP NPI 1750351540

NPI Information

NPI: 1750351540
Provider Name: PAULA DECANTER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1755 COUNTY ROAD 81
BLUE MOUNTAIN, MS
ZIP 38610
Phone: (662) 538-4111
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Paula Decanter, FNP is a family nurse practitioner in Blue Mountain, MS with 25 years of experience. Paula Decanter, FNP NPI is 1750351540. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1755 COUNTY ROAD 81
BLUE MOUNTAIN, MS
ZIP 38610-657
Phone: (662) 538-4111
Fax: (662) 538-4128

The NPI 1750351540 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2006 and was last updated on 10/8/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R819565	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	512I500705	MEDICARE PIN	MISSISSIPPI
2	0121560	MEDICAID	MISSISSIPPI
3	S94579	MEDICARE UPIN	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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