CRADLE TO THE GRAVE HEALTHCARE LLC
NPI 1770935611
Nurse Practitioner in Leakesville, MS

Q: What is Cradle To The Grave Healthcare LLC's NPI number?

The NPI number for Cradle To The Grave Healthcare LLC is 1770935611. It was assigned to this organization in the NPPES registry on July 3, 2016.

Q: What is Cradle To The Grave Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 03, 2016

413 SAINT FRANCIS ST STE B, LEAKESVILLE, MS 39451(251) 645-4539(601) 947-1331 Get Directions Write a Review

NPPES record last updated: July 3, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cradle To The Grave Healthcare Llc NPPES

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

CRADLE TO THE GRAVE HEALTHCARE LLC (NPI 1770935611) is a healthcare organization registered as a nurse practitioner in Leakesville, Mississippi and active in the NPI registry since July 2016. The organization lists Susan Rutledge, Director, as its authorized official.

NPPES Registry Identity

NPI1770935611

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameCRADLE TO THE GRAVE HEALTHCARE LLC

Location Address413 SAINT FRANCIS ST STE BLeakesville, MS 39451-8909

Mailing AddressPo Box 1126Leakesville, MS 39451-1126 · (601) 947-1330 · Fax (601) 947-1331

Phone(251) 645-4539

Fax(601) 947-1331

Organization SubpartNo

Authorized OfficialSusan RutledgeDirector · (601) 947-1330

Enumeration DateJuly 3, 2016

✔ NPI 1770935611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · R875627

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

413 SAINT FRANCIS ST STE B, Leakesville, MS 39451

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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 Cradle To The Grave Healthcare LLC's NPI number?

The NPI number for Cradle To The Grave Healthcare LLC is 1770935611. It was assigned to this organization in the NPPES registry on July 3, 2016.

Where is Cradle To The Grave Healthcare LLC located?

Cradle To The Grave Healthcare LLC is located at 413 Saint Francis St Ste B, Leakesville, MS 39451. The listed phone number is (251) 645-4539.

What is Cradle To The Grave Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Cradle To The Grave Healthcare LLC was last updated on July 3, 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.