Individual provider Active NPI

Tirra Ronetta Rayford

  • Social Worker
  • Byhalia, MS
National Provider Identifier
1366221582
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
14486 Issued in TN
Practice address
169 Williams Rd
Byhalia, MS 38611-8492
Phone
(901) 229-8920
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 14486 TN Primary

Addresses

Primary practice location

169 Williams Rd
Byhalia, MS 38611-8492

Mailing address

169 Williams Rd
Byhalia, MS 38611-8492
Phone (901) 229-8920

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

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1366221582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 WILLIAMS RD",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386118492",
            "telephone_number": "901-229-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 WILLIAMS RD",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386118492",
            "telephone_number": "901-229-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYFORD",
        "first_name": "TIRRA",
        "middle_name": "RONETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TN",
            "license": "14486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byhalia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.