HEALTHY KIDS CLINIC AT PASS ROAD ELEMENTARY
NPI 1154543528
Registered Nurse - School in Gulfport, MS

Q: What is Pass Road Elementary's NPI number?

The NPI number for Pass Road Elementary is 1154543528. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is also known as Healthy Kids Clinic At Pass Road Elementary.

Q: What is Pass Road Elementary's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

Active since May 03, 2007

37 PASS ROAD, GULFPORT, MS 39507(228) 865-4659 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Healthy Kids Clinic At Pass Road Elementary NPPES

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

HEALTHY KIDS CLINIC AT PASS ROAD ELEMENTARY (NPI 1154543528) is a healthcare organization registered as a school in Gulfport, Mississippi and active in the NPI registry since May 2007. The organization lists Stacey Waldrop, School Nurse, as its authorized official.

NPPES Registry Identity

NPI1154543528

Entity TypeOrganization

Primary Taxonomy163WS0200X

Legal Business NamePASS ROAD ELEMENTARY

Location Address37 PASS ROADGulfport, MS 39507

Mailing Address37 Pass RoadGulfport, MS 39507 · (228) 865-4659

Phone(228) 865-4659

Organization SubpartNo

Authorized OfficialStacey WaldropSchool Nurse · (228) 865-4659

Enumeration DateMay 3, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1154543528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · SchoolNursing Service Providers

Taxonomy Code163WS0200X

License✔ Licensed in MS · R772068

37 PASS ROAD, Gulfport, MS 39507

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Other Names 1

Other NameHealthy Kids Clinic At Pass Road Elementary

Other Identifiers 1

Medicaid00836002MS

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

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 Pass Road Elementary's NPI number?

The NPI number for Pass Road Elementary is 1154543528. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is also known as Healthy Kids Clinic At Pass Road Elementary.

Where is Pass Road Elementary located?

Pass Road Elementary is located at 37 Pass Road, Gulfport, MS 39507. The listed phone number is (228) 865-4659.

What is Pass Road Elementary's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in School, with taxonomy code 163WS0200X.

When was this NPI record last updated?

The NPPES record for Pass Road Elementary was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.