MS. CHRISTA STAPLES CNNP CPNP FNP-C NPI 1740319839

NPI Information

NPI: 1740319839
Provider Name: MS. CHRISTA STAPLES, CNNP, CPNP, FNP-C
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1529 COLUMBIA AVE
PRENTISS, MS
ZIP 39474
Phone: (601) 792-3200
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MS. Christa Staples, CNNP, CPNP, FNP-C is a pediatrics nurse practitioner in Prentiss, MS with 27 years of experience. MS. Christa Staples, CNNP, CPNP, FNP-C NPI is 1740319839. 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:

1529 COLUMBIA AVE
PRENTISS, MS
ZIP 39474-117
Phone: (601) 792-3200

The NPI 1740319839 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 3/5/2007 and was last updated on 9/16/2022.

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	R857329	MISSISSIPPI	No
2	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	AP04163	LOUISIANA	No
3	363LN0005X	Nurse Practitioner	Neonatal, Critical Care	R857329	MISSISSIPPI	No
4	363LP0200X	Nurse Practitioner	Pediatrics	R857329	MISSISSIPPI	No
5	363LP0200X	Nurse Practitioner	Pediatrics	AP121222	TEXAS	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	Other Provider Identifier Issuer
1	00424220	MEDICAID	MISSISSIPPI
2	1740319839	MEDICAID	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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