Active NPI
Betty G Hayhurst, MSN, APRN, BC (FNP)
- Family Nurse Practitioner
- Corinth, MS
National Provider Identifier
1609858109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R560634
- Practice address
- 820 Highway 2
Corinth, MS 38834-7954 - Phone
- (662) 286-5055
- Fax
- (662) 286-9700
- NPI assigned
- Nov 18, 2005
- Last updated
- Oct 25, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R560634 | MS | Primary |
Addresses
Primary practice location
820 Highway 2
Corinth, MS 38834-7954
Mailing address
PO Box 8023
Corinth, MS 38834-8023
Phone (662) 286-5055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05637763 | Medicaid | MS |
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R560634 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Family Clinic of Kossuth, LLC | Past | Accepting new patients | |
| Kossuth Family Health Clinic | Family | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCCCBD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Nurse Practitioner
- Corinth, MS
- NPI 1679600522
-
- Primary Care Clinic/Center
- Corinth, MS
- NPI 1669810636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1609858109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8023",
"city": "CORINTH",
"state": "MS",
"postal_code": "388348023",
"telephone_number": "662-286-5055",
"fax_number": "662-286-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 HIGHWAY 2",
"city": "CORINTH",
"state": "MS",
"postal_code": "388347954",
"telephone_number": "662-286-5055",
"fax_number": "662-286-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYHURST",
"first_name": "BETTY",
"middle_name": "G",
"credential": "MSN, APRN, BC (FNP)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R560634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05637763",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corinth, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.