Active NPI
Sonya Versie, RN
- Registered Nurse
- Olive Branch, MS
National Provider Identifier
1073100822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 896461
- Practice address
- 4883 Arrowhead LN
Olive Branch, MS 38654-6099 - Phone
- (901) 619-9453
- Fax
- (888) 503-3559
- NPI assigned
- Dec 28, 2020
- Last updated
- Dec 28, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 896461 | MS | Primary |
Addresses
Primary practice location
4883 Arrowhead LN
Olive Branch, MS 38654-6099
Mailing address
4883 Arrowhead LN
Olive Branch, MS 38654-6099
Phone (901) 619-9453
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896461 | Other | MS | STATE BOARD OF NURSING |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 896461 | MS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1073100822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4883 ARROWHEAD LN",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546099",
"telephone_number": "901-619-9453",
"fax_number": "888-503-3559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4883 ARROWHEAD LN",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386546099",
"telephone_number": "901-619-9453",
"fax_number": "888-503-3559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERSIE",
"first_name": "SONYA",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-28",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "896461",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF NURSING",
"identifier": "896461",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
- Uhs of Parkwood Inc (Parkwood Behavioral Health System)
- Unity Hospice Care, LLC
- Robin Van Nortwick, MA, CCC-SLP
- Haley Elizabeth Vargo, PMHNP
- Ajay Narayan Venkatanarayan
- Veterans Choice Homecare LLC
- Anna Vires
- Visionworks, Inc. (Visionworks)
- Ketul P Vora, MD
- Wa Thames DMD PLLC (Thames Family Dentistry PLLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.