Active NPI
Vincent Huffstutler
- Skilled Nursing Facility
- Ripley, MS
National Provider Identifier
1003274150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- TA0605
- Practice address
- 201 Mary Ellen Dr
Ripley, MS 38663-1658 - Phone
- (662) 587-5259
- NPI assigned
- Feb 4, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | TA0605 | MS | Primary |
Addresses
Primary practice location
201 Mary Ellen Dr
Ripley, MS 38663-1658
Mailing address
201 Mary Ellen Dr
Ripley, MS 38663-1658
Phone (662) 587-5259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA0605 | MS | MD | Skilled Nursing Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1003274150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 MARY ELLEN DR",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386631658",
"telephone_number": "662-587-5259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 MARY ELLEN DR",
"city": "RIPLEY",
"state": "MS",
"postal_code": "386631658",
"telephone_number": "662-587-5259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFSTUTLER",
"first_name": "VINCENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-04",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MS",
"license": "TA0605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ripley, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.