Mary Fox, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704303249 Issued in MI

Practice address

2803 Attala Road 2207
Kosciusko, MS 39090-3163

Phone

(662) 770-1315

NPI assigned

Mar 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Everyday 24HR Homecare Agency, LLC

  • Home Health Agency
  • Kosciusko, MS
  • NPI 1194564781
  NPD Authorized official
• Homedica of Mississippi, LLC

  • Case Manager/Care Coordinator
  • Gulfport, MS
  • NPI 1841622628
  NPD

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1558802413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 ATTALA ROAD 2207",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903163",
            "telephone_number": "662-770-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 ATTALA ROAD 2207",
            "city": "KOSCIUSKO",
            "state": "MS",
            "postal_code": "390903163",
            "telephone_number": "662-770-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "MARY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-13",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704303249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quindetta Felton, RN
• Kayla Barnett Ferguson, FNP-C
• Imani Finley, OT
• Memorie Finnie
• Courtney Fletcher, M.S.,SLP
• Dorothy Michele Fulgham, O.T.
• Diana Fuller,Micou
• Robert Kirtis Greenlee, FNP
• Anita Greer
• Detric Griffin

• All providers in Kosciusko, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.