Individual provider Active NPI

Joyce Deloris Buie, FNP

  • Family Nurse Practitioner
  • Bay St Louis, MS
National Provider Identifier
1639352123
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R862697 Issued in MS
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

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1995525MedicaidLA
AP01225OtherLALA 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

LicenseStateTypeSpecialty
AP01225LAMDFamily Nurse Practitioner
R862697MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.