MEMORIAL HOSPITAL AT GULFPORT
NPI 1124392329
Nurse Practitioner - Family in Gulfport, MS

Active since March 06, 2012
4500 13TH ST, GULFPORT, MS 39501(228) 867-4000 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Memorial Hospital At Gulfport NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL HOSPITAL AT GULFPORT (NPI 1124392329) is a healthcare organization registered as a family in Gulfport, Mississippi and active in the NPI registry since March 2012. The organization lists Kent Nicaud, Office Manager/administrator, as its authorized official.

NPPES Registry Identity

NPI1124392329
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMEMORIAL HOSPITAL AT GULFPORT
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing AddressPo Box 555Biloxi, MS 39533-0555
Organization SubpartNo
Authorized OfficialKent NicaudOffice Manager/administrator · (228) 867-4000
Enumeration DateMarch 6, 2012
NPI 1124392329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R878630
4500 13TH ST, Gulfport, MS 39501

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
4500 13TH ST
GULFPORT, MS 39501
Nurse Anesthetist, Certified Registered
4500 13TH ST
GULFPORT, MS 39501
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Physician Assistant (Surgical)
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Dietitian, Registered
4500 13TH ST
GULFPORT, MS 39501
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hospital At Gulfport's NPI number?

The NPI number for Memorial Hospital At Gulfport is 1124392329. It was assigned to this organization in the NPPES registry on March 6, 2012.

Where is Memorial Hospital At Gulfport located?

Memorial Hospital At Gulfport is located at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 867-4000.

What is Memorial Hospital At Gulfport's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Memorial Hospital At Gulfport was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.