Active NPI
Ms School for the Deaf and Blind
- Audiologist
- Jackson, MS
National Provider Identifier
1083782775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AO661
- Legal business name
- MS SCHOOL FOR THE DEAF AND BLIND
- Practice address
- 1253 Eastover Dr
Jackson, MS 39211-6315 - Phone
- (601) 984-8036
- Fax
- (601) 984-8030
- NPI assigned
- Dec 1, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rosie Pridgen
- Title
- Interim Superintendent MSD
- Phone
- (601) 984-8203
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AO661 | MS | Primary |
Addresses
Primary practice location
1253 Eastover Dr
Jackson, MS 39211-6315
Mailing address
1253 Eastover Dr
Jackson, MS 39211-6315
Phone (601) 984-8036
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00076026 | Medicaid | MS | |
| 06575367 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
1253 Eastover Dr
Jackson, MS 39211
Phone (601) 984-8036
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Audiologist
- Jackson, MS
- NPI 1629252010
-
- Audiologist
- Jackson, MS
- NPI 1821393604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083782775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 EASTOVER DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116315",
"telephone_number": "601-984-8036",
"fax_number": "601-984-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 EASTOVER DR",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116315",
"telephone_number": "601-984-8036",
"fax_number": "601-984-8030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MS SCHOOL FOR THE DEAF AND BLIND",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PRIDGEN",
"authorized_official_first_name": "ROSIE",
"authorized_official_title_or_position": "INTERIM SUPERINTENDENT MSD",
"authorized_official_telephone_number": "601-984-8203",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MS",
"license": "AO661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00076026",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06575367",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
- Naji Elias Moussa, M.D.
- Mr Discount Drugs
- Ms Children's Home Society
- Ms Methodist Hospital & Rehabilitation Center (Methodist Rehab Ceter)
- Ms Pathology Associates, PA
- Ms State Department of Health
- Ms State Department of Health (Metro Home Health)
- Ms State Department of Health Pharmacy
- Ms State Department of Health Pharmacy
- Ms State Dept of Health
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.