Active NPI
Jacy Csaszar
- Registered Nurse
- Petal, MS
National Provider Identifier
1508455692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 907107
- Practice address
- 204 Mamie St
Petal, MS 39465-2130 - Phone
- (601) 325-1933
- NPI assigned
- Jan 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 907107 | MS | Primary |
Addresses
Primary practice location
204 Mamie St
Petal, MS 39465-2130
Mailing address
204 Mamie St
Petal, MS 39465-2130
Phone (601) 325-1933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1508455692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 MAMIE ST",
"city": "PETAL",
"state": "MS",
"postal_code": "394652130",
"telephone_number": "601-325-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 MAMIE ST",
"city": "PETAL",
"state": "MS",
"postal_code": "394652130",
"telephone_number": "601-325-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CSASZAR",
"first_name": "JACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "907107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petal, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.