Qyhdijha Ivy

Primary specialty

Neonatal Intensive Care Registered NurseTaxonomy code 163WN0002X

License

920750 Issued in MS

Practice address

876 Sunflower Rd
Scooba, MS 39358-7372

Phone

(601) 409-6076

NPI assigned

Jul 26, 2022

Last updated

Jul 26, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1427784164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 SUNFLOWER RD",
            "city": "SCOOBA",
            "state": "MS",
            "postal_code": "393587372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 SUNFLOWER RD",
            "city": "SCOOBA",
            "state": "MS",
            "postal_code": "393587372",
            "telephone_number": "601-409-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "QYHDIJHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "MS",
            "license": "920750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "qyhdijhaivy@ymail.com",
            "affiliation": "N",
            "address_1": "876 Sunflower Rd",
            "city": "Scooba",
            "state": "MS",
            "country_code": "US",
            "postal_code": "393587372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven Bontrager, ATC
• East Mississippi Community College (EMCC Sports Medicine)
• Greater Meridian Health Clinic, Inc. (Scooba Family Medical Clinic)
• Suzanne Hagar, RN
• Elizabeth McMahan, FNP
• Ryota Nakagi
• Madilyn Hope Peters, LAT, ATC
• Dorothy Richardson
• Shannon Wilkins, DPT

• Neonatal Intensive Care Registered Nurse in Scooba, MS
• Providers in Scooba, MS by specialty
• Neonatal Intensive Care Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.