Active NPI
Amy Marie Vazquez, NP
- Family Nurse Practitioner
- Jackson, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 906741
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murphy S. Martin, M.D., PLLC | Current | Accepting new patients |
Locations
1600 N State St
Ste 200
Jackson, MS 39202
Phone (601) 326-3900
Interoperability endpoints
- 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.
-
- Nephrology Physician
- Jackson, MS
- NPI 1295963742
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Yazoo City, MS
- NPI 1619918075
-
dba Baptist Medical Center - Attala
- Critical Access Hospital
- Kosciusko, MS
- NPI 1730566027
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.