Sandra Ferrill, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

20120534 Issued in LA

Practice address

8321 Amoka Dr
Diamondhead, MS 39525-4060

Phone

(228) 363-3606

NPI assigned

Apr 10, 2019

Last updated

Apr 10, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1265995740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8321 AMOKA DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395254060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 AMOKA DR",
            "city": "DIAMONDHEAD",
            "state": "MS",
            "postal_code": "395254060",
            "telephone_number": "228-363-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRILL",
        "first_name": "SANDRA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "LA",
            "license": "20120534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James W Embry, NP
• Encore Rehabailitation
• Encore Rehabilitation Inc (Encore Rehab of Diamondhead)
• Casey Michael Favre, NP-C
• Stephanie Lee-Anne Fayard, RD
• Brittany Spahr Fischtziur
• Barbara Denise Franceski, NP-C
• Garrett Fratesi, DO
• Bita Ghaffari, M.D.
• Debra Gregory

• Licensed Practical Nurse in Diamondhead, MS
• Providers in Diamondhead, MS by specialty
• Licensed Practical Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.