Organization Active NPI

Teresa Ann Ceaser

Doing business as Tresses For Less Supply

  • Durable Medical Equipment & Medical Supplies
  • Jackson, MS
National Provider Identifier
1053422782
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TERESA ANN CEASER
Doing business as
Tresses For Less Supply
Practice address
115 Broadmoor Dr
Jackson, MS 39206-4842
Phone
(601) 366-6700
Fax
(601) 366-6007
NPI assigned
Aug 31, 2006
Last updated
Feb 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Mrs. Teresa Ann Ceaser
Title
Owner
Phone
(601) 366-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

115 Broadmoor Dr
Jackson, MS 39206-4842

Mailing address

115 Broadmoor Dr
Jackson, MS 39206-4842
Phone (601) 366-6700

Other identifiers 1

IdentifierTypeStateIssuer
05059701MedicaidMS

Other names 1

  • Tresses For Less Supply Doing business as

National Provider Directory

National Provider Directory

Locations

115 Broadmoor Dr
Jackson, MS 39206
Phone (601) 366-6700

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1053422782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADMOOR DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064842",
            "telephone_number": "601-366-6700",
            "fax_number": "601-366-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROADMOOR DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064842",
            "telephone_number": "601-366-6700",
            "fax_number": "601-366-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA ANN CEASER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "CEASER",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-366-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05059701",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tresses For Less Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 1, 2011; 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.