Active NPI
Susan Page Oetzel Husband, NP-C
- Nurse Practitioner
- Jackson, MS
National Provider Identifier
1285773358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F0606227
- Practice address
- 2906 N State St
Ste 301
Jackson, MS 39216-4233 - Phone
- (601) 982-1001
- Fax
- (601) 982-1288
- NPI assigned
- Feb 5, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F0606227 | MS | Primary |
Addresses
Primary practice location
2906 N State St
Ste 301
Jackson, MS 39216-4233
Mailing address
PO Box 757
Jackson, MS 39205-0757
Phone (601) 982-1001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0606227 | Other | MS | CERTIFICATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0606227 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell Myers, M.D. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Neurology Physician
- Jackson, MS
- NPI 1235454059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285773358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 757",
"city": "JACKSON",
"state": "MS",
"postal_code": "392050757",
"telephone_number": "601-982-1001",
"fax_number": "601-982-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 N STATE ST",
"address_2": "STE 301",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164233",
"telephone_number": "601-982-1001",
"fax_number": "601-982-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSBAND",
"first_name": "SUSAN",
"middle_name": "PAGE OETZEL",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "F0606227",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION",
"identifier": "F0606227",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.