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MRS. ADDIE PARKS HERROD CFNP
NPI 1689769796
Nurse Practitioner - Family in Canton, MS

Active since October 04, 2006
1668 W PEACE ST, CANTON, MS 39046(601) 859-5213(601) 859-8777 Get Directions Write a Review

NPPES record last updated: May 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Addie Parks Herrod Cfnp NPPES

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

MRS. ADDIE PARKS HERROD CFNP (NPI 1689769796) is an individual family provider in Canton, Mississippi, licensed in Mississippi (R715247) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1689769796
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ADDIE PARKS HERRODCredential: CFNP
Location Address1668 W PEACE STCanton, MS 39046-5332
Mailing AddressPo Box 588Canton, MS 39046-0588 · (601) 859-5213 · Fax (601) 859-8771
Phone(601) 859-5213
Fax(601) 859-8777
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 25, 2016
✔ NPI 1689769796 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 · R715247
1668 W PEACE ST, Canton, MS 39046
Open in Google Maps ↗

Other Identifiers 6

Medicare ID-Type Unspecified258976MS · Group Rural Health
Medicaid08184344MS
Medicare UPINQ59434
Medicaid05179077MS
Other$$$$$$$$$AMS · Blue Cross And Blue Shield Of Ms
Medicare ID-Type Unspecified500002039MS · Individual

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.

KIM'EIKA CROSBY LIFESTYLE COACH
Health and Wellness Coach
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
G A CARMICHAEL FAMILY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
RANDY S LOVE DMD
Dentist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
CHRIS FIELDS
Clinical Exercise Physiologist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 329-5751
ANGELA JONES-STEWART FNP-C
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
DENESSA V POTTS DMD
Dentist
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
SHAMEKKA NICOLETTE SKINNER
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213
STEPHANIE TERRY CFNP
Nurse Practitioner (Family)
1668 W PEACE ST
CANTON, MS 39046
Madison County (601) 859-5213

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 Addie Herrod's NPI number?

The NPI number for Addie Herrod is 1689769796. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Addie Herrod located?

Addie Herrod practices at 1668 W Peace St, Canton, MS 39046. The listed phone number is (601) 859-5213.

What is Addie Herrod'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 Addie Herrod was last updated on May 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.