Derryin Ninaye Stampley, CPS
Individual provider Active NPI Prosthetist · Fayette, MS
NPI 1104580109 · NPPES record last updated Oct 26, 2021
Key facts
- NPI
- 1104580109
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetist 224P00000X
- Practice address
- 28 Snyder Rd
Fayette, MS 39069-5051 - Phone
- (601) 809-6004
- NPI assigned
- Oct 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | |||
| Prosthetist | 224P00000X | Yes |
Addresses
Primary practice location
28 Snyder Rd
Fayette, MS 39069-5051
Mailing address
28 Snyder Rd
Fayette, MS 39069-5051
Phone (601) 809-6004
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NinayesHairLab | Health Information Exchange (HIE) |
Other providers in Fayette, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.