Active NPI
Joyce Deloris Buie, FNP
- Family Nurse Practitioner
- Bay St Louis, MS
National Provider Identifier
1639352123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R862697
- Practice address
- 3062 Longfellow Rd
#25
Bay St. Louis, MS 39520 - Phone
- (228) 467-4510
- Fax
- (228) 466-6227
- NPI assigned
- Dec 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP01225 | LA | |
| Family Nurse Practitioner | 363LF0000X | R862697 | MS | Primary |
Addresses
Primary practice location
3062 Longfellow Rd
#25
Bay St. Louis, MS 39520
Mailing address
3062 Longfellow Rd
#25
Bay St. Louis, MS 39520
Phone (228) 467-4510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1995525 | Medicaid | LA | |
| AP01225 | Other | LA | LA STATE LICENSE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP01225 | LA | MD | Family Nurse Practitioner |
| R862697 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi State Department of Health | Past | Accepting new patients | |
| E and G Enterprises Inc | Past | Accepting new patients |
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.
-
dba Tombigbee Home Health Agency 4C
- Home Health Agency
- Columbus, MS
- NPI 1932182458
-
- Customized Equipment (DME)
- Slidell, LA
- NPI 1639475353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247011200000",
"number": "1639352123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3062 LONGFELLOW RD",
"address_2": "#25",
"city": "BAY ST. LOUIS",
"state": "MS",
"postal_code": "39520",
"telephone_number": "228-467-4510",
"fax_number": "228-466-6227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3062 LONGFELLOW RD",
"address_2": "#25",
"city": "BAY ST. LOUIS",
"state": "MS",
"postal_code": "39520",
"telephone_number": "228-467-4510",
"fax_number": "228-466-6227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUIE",
"first_name": "JOYCE",
"middle_name": "DELORIS",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2009-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP01225",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R862697",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1995525",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA STATE LICENSE",
"identifier": "AP01225",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bay St Louis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.