Individual provider Active NPI

Amy Marie Vazquez, NP

  • Family Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1467297986
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906741 Issued in MS
Practice address
1600 N State St Ste 200
Jackson, MS 39202-1689
Phone
(601) 326-3900
Fax
(601) 326-3903
NPI assigned
Jun 26, 2024
Last updated
Jun 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 906741 MS Primary

Addresses

Primary practice location

1600 N State St Ste 200
Jackson, MS 39202-1689

Mailing address

1600 N State St Ste 200
Jackson, MS 39202-1689
Phone (601) 326-3900

Other practice location 1

1883 Highway 43 S
Canton, MS 39046-8405
Phone (800) 881-5101

Other practice location 2

105 Johnston Pl
Clinton, MS 39056-5911
Phone (800) 881-5101

Other practice location 3

201 N Haley St
Hazlehurst, MS 39083-3111
Phone (800) 881-5101

Other practice location 4

107 Ridgewood Cir
Kosciusko, MS 39090-3265
Phone (800) 881-5101

Other practice location 5

716 Grand Ave
Yazoo City, MS 39194-3232
Phone (800) 881-5101

Other practice location 6

1225 N State St
Jackson, MS 39202-2097
Phone (601) 968-1000

Other practice location 7

381 Medical Dr
Jackson, MS 39216-4118
Phone (800) 881-5101

Other practice location 8

656 N State St
Jackson, MS 39202-3303
Phone (800) 881-5101

Other practice location 9

1850 Chadwick Dr
Jackson, MS 39204-3404
Phone (800) 881-5100

Other practice location 10

209 Mar Lyn Dr
Brandon, MS 39042-2483
Phone (800) 881-5101

Other practice location 11

1421 N State St
Jackson, MS 39202-1658
Phone (800) 881-5101

Other practice location 12

570 Deerfield Dr
Forest, MS 39074-6005
Phone (800) 881-5101

Other practice location 13

211 1st St SE
Magee, MS 39111-3623
Phone (800) 881-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240809001269 MS Practitioner - Nurse Practitioner 9436697323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Murphy S. Martin, M.D., PLLCGroup PAC ID 4688712243, 8 clinicians

Practice addresses (Care Compare)

1600 N State St
Suite 200
Jackson, MS 39202-1689
Phone (601) 326-3900

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Murphy S. Martin, M.D., PLLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

1600 N State St
Ste 200
Jackson, MS 39202
Phone (601) 326-3900

Interoperability endpoints

  • Direct secure messaging: avasquez190196@direct.bmhcc.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1467297986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N STATE ST STE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021689",
            "telephone_number": "601-326-3900",
            "fax_number": "601-326-3903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N STATE ST STE 200",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021689",
            "telephone_number": "601-326-3900",
            "fax_number": "601-326-3903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1883 Highway 43 S",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390468405",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Johnston Pl",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390565911",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 N Haley St",
            "address_purpose": "LOCATION",
            "city": "Hazlehurst",
            "state": "MS",
            "postal_code": "390833111",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Ridgewood Cir",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903265",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "716 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943232",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022097",
            "country_code": "US",
            "telephone_number": "601-968-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "381 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164118",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "656 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392023303",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1850 Chadwick Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392043404",
            "country_code": "US",
            "telephone_number": "800-881-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Mar Lyn Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "390422483",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1421 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392021658",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Deerfield Dr",
            "address_purpose": "LOCATION",
            "city": "Forest",
            "state": "MS",
            "postal_code": "390746005",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 1st St SE",
            "address_purpose": "LOCATION",
            "city": "Magee",
            "state": "MS",
            "postal_code": "391113623",
            "country_code": "US",
            "telephone_number": "800-881-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.