Individual provider Active NPI

Cayla Switzer, NP-C

  • Family Nurse Practitioner
  • Diberville, MS
National Provider Identifier
1508317405
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901819 Issued in MS
Practice address
11516 Lamey Bridge Rd
Ste 2
Diberville, MS 39540-2725
Phone
(228) 207-4190
Fax
(228) 207-4156
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

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 901819 MS Primary

Addresses

Primary practice location

11516 Lamey Bridge Rd
Ste 2
Diberville, MS 39540-2725

Mailing address

907 Grant Ave
Pascagoula, MS 39567-7221
Phone (228) 623-5784

Other identifiers 1

IdentifierTypeStateIssuer
01488072MedicaidMS

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
I20161118000352 MS Practitioner - Nurse Practitioner 9133408909 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Aug 1, 2021 Accepting new patients
The Surgical Clinic PastSince Nov 1, 2018 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

Organizations & group practices 2

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": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1508317405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 GRANT AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395677221",
            "telephone_number": "228-623-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 LAMEY BRIDGE RD",
            "address_2": "STE 2",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402725",
            "telephone_number": "228-207-4190",
            "fax_number": "228-207-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWITZER",
        "first_name": "CAYLA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01488072",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Diberville, MS

Sources for this page

Verify at the official NPI Registry.