Individual provider Active NPI

Catharyne Costanzi Wright, APRN, BC

  • Family Nurse Practitioner
  • Cleveland, MS
National Provider Identifier
1396996617
Registry record updated Dec 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R747888 Issued in MS
Practice address
810 E Sunflower Rd Ste 100a
Cleveland, MS 38732-2828
Phone
(662) 843-3606
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R747888 MS Primary

Addresses

Primary practice location

810 E Sunflower Rd Ste 100a
Cleveland, MS 38732-2828

Mailing address

810 E Sunflower Rd Ste 100a
Cleveland, MS 38732-2828
Phone (662) 843-3606

Other identifiers 1

IdentifierTypeStateIssuer
07971503MedicaidMS

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R747888MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bolivar Physician Practices LLC Current Accepting new patients
Bolivar Physician Practices LLC CurrentSince Feb 1, 2018 Accepting new patients
Bolivar Physician Practices LLC CurrentSince Feb 1, 2018 Accepting new patients
Cleveland Medical Clinic PLLC Past Accepting new patients

Locations

810 E Sunflower Rd
Ste 100A
Cleveland, MS 38732
Phone (662) 579-0118

907 E Sunflower Rd
Ste 102
Cleveland, MS 38732
Phone (662) 545-4443

810 E Sunflower Rd
Ste 100
Cleveland, MS 38732
Phone (662) 579-3484

512 Levee St
Rosedale, MS 38769
Phone (662) 759-6603

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1396996617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E SUNFLOWER RD STE 100A",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322828",
            "telephone_number": "662-843-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "CATHARYNE",
        "middle_name": "COSTANZI",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R747888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07971503",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, MS

Sources for this page

Verify at the official NPI Registry.