Jean Babette Pfarrer, CDCES

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

853493 Issued in MS

Practice address

2105 Old Spanish TRL
Gautier, MS 39553-6000

Phone

(228) 205-7700

Fax

(228) 205-7715

NPI assigned

Mar 27, 2023

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1043914963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 LANGLEY DR",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395325622",
            "telephone_number": "228-365-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 OLD SPANISH TRL",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536000",
            "telephone_number": "228-205-7700",
            "fax_number": "228-205-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFARRER",
        "first_name": "JEAN",
        "middle_name": "BABETTE",
        "credential": "CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "853493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diabetes Educator Registered Nurse in Gautier, MS
• Providers in Gautier, MS by specialty
• Diabetes Educator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.