Active NPI
Barbara Janet Boss, CFNP
- Nurse Practitioner
- Jackson, MS
National Provider Identifier
1023077765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R570451
- Practice address
- 258 E Fortification St
Jackson, MS 39202-2356 - Phone
- (601) 815-8230
- Fax
- (601) 354-6289
- NPI assigned
- Mar 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Jackson, MS
- NPI 1285126029
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R570451 | DC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Mississippi- University of Mississippi Medical Center | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R570451 | DC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
258 E Fortification St
Jackson, MS 39202-2356
Mailing address
2500 N. State Street
Jackson, MS 39216
Phone (601) 984-6270
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00119044 | Medicaid | MS |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2015.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1023077765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 N. STATE STREET",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-6270",
"fax_number": "601-815-1828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 E FORTIFICATION ST",
"city": "JACKSON",
"state": "MS",
"postal_code": "392022356",
"telephone_number": "601-815-8230",
"fax_number": "601-354-6289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSS",
"first_name": "BARBARA",
"middle_name": "JANET",
"name_prefix": "Dr.",
"credential": "CFNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DC",
"license": "R570451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00119044",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.