Active NPI
Ina Rene Duplessis, OTR/L
- Community Health Worker
- Pass Christian, MS
National Provider Identifier
1326376286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OT 0990
- Practice address
- 1583 E Second St
Pass Christian, MS 39571-3125 - Phone
- (228) 452-3260
- Fax
- (228) 452-3260
- NPI assigned
- Dec 3, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OT 0990 | MS | Primary |
Addresses
Primary practice location
1583 E Second St
Pass Christian, MS 39571-3125
Mailing address
1583 E Second St
Pass Christian, MS 39571-3125
Phone (228) 452-3260
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 |
|---|---|---|---|
| OT 0990 | MS | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259798400000",
"number": "1326376286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 E SECOND ST",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395713125",
"telephone_number": "228-452-3260",
"fax_number": "228-452-3260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1583 E SECOND ST",
"city": "PASS CHRISTIAN",
"state": "MS",
"postal_code": "395713125",
"telephone_number": "228-452-3260",
"fax_number": "228-452-3260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPLESSIS",
"first_name": "INA",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-03",
"last_updated": "2009-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MS",
"license": "OT 0990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pass Christian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.