Jessica Tubbs

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R874755 Issued in MS

Practice address

401 E Lee St
Sardis, MS 38666-1227

Phone

(662) 487-0004

NPI assigned

Aug 29, 2016

Sex

Female

Sole proprietor

No

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

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delta Medical Foundation 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Delta Medical Foundation

  • Rural Health Clinic/Center
  • Clarksdale, MS
  • NPI 1508363060

  MS

  Medicare reassignment Care Compare group NPD
• Cary N Mettetal

  • Family Medicine Physician
  • Sardis, MS
  • NPI 1083786727

  MS

  Medicare reassignment NPD
• Curana Health of Mississippi LLC

  • Family Nurse Practitioner
  • Flowood, MS
  • NPI 1013395615

  Family, MS

  Medicare reassignment NPD
• Delta Medical Foundation

  • Rural Health Clinic/Center
  • Marks, MS
  • NPI 1720585490
  Care Compare group NPD

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1124574231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E LEE ST",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "386661227",
            "telephone_number": "662-487-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E LEE ST",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "386661227",
            "telephone_number": "662-487-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUBBS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sallye S. Scott, OD
• SFMC Laboratory
• Beverly Jean Shead, LPN
• Timberlake Transportation LLC
• Linda L Troy, FNP
• Wal-Mart Stores East, LP
• Vicki Watson, RN
• Lance Dewey Whaley, MD

• All providers in Sardis, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.