Jillian M Strayham, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R876026 Issued in MS

Practice address

8006 Highway 613
Moss Point, MS 39562-8200

Phone

(228) 475-1166

Fax

(228) 475-9337

NPI assigned

Jan 15, 2011

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

Other identifiers 1

Other names 1

• Jillian M Ladner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jladner@direct.mhg.com

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.

• Homedica of Mississippi, LLC

  • Case Manager/Care Coordinator
  • Gulfport, MS
  • NPI 1841622628
  NPD (past)
• Stone County Hospital, Inc

  dba Stone County Hospital Ambulance

  • Ambulance
  • Wiggins, MS
  • NPI 1003073057
  NPD (past)
• Vascular Associates LLC

  • Specialist
  • Panama City, FL
  • NPI 1821129313
  NPD (past)

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

{
    "created_epoch": "1295049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1356646772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-239-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 HIGHWAY 613",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395628200",
            "telephone_number": "228-475-1166",
            "fax_number": "228-475-9337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 Courthouse Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395071889",
            "country_code": "US",
            "telephone_number": "228-575-1333",
            "fax_number": "228-896-3922",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8950 Lorraine Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395034183",
            "country_code": "US",
            "telephone_number": "228-575-2770",
            "fax_number": "228-575-2780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 13th St",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395012515",
            "country_code": "US",
            "telephone_number": "228-575-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3434 Bienville Blvd",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395645732",
            "country_code": "US",
            "telephone_number": "228-875-1599",
            "fax_number": "228-875-1124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAYHAM",
        "first_name": "JILLIAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-15",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R876026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04654891",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "LADNER",
            "middle_name": "M",
            "credential": "N.P.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alice Smith, EDD
• Lakonya Smith
• Leesa Lanelle Smith, M.S.
• Sonya White, D. D. S., P.C.
• Lauren Alyson Stokes, RN
• Shanterika Tate
• Danyell Taylor, ATC
• Jamie Nicole Taylor, CCMA
• Michelle Thomas-Polk
• Sadae Thompson, FNP

• Family Nurse Practitioner in Moss Point, MS
• Providers in Moss Point, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.