Active NPI
Tynita Steele
- Prosthetics Case Management
- Gautier, MS
National Provider Identifier
1649725409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 06-53002
- Practice address
- 5304 Gautier Vancleave Rd
Gautier, MS 39553-4216 - Phone
- (228) 326-0521
- Fax
- (228) 205-0713
- NPI assigned
- Aug 22, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 06-53002 | MS | Primary |
Addresses
Primary practice location
5304 Gautier Vancleave Rd
Gautier, MS 39553-4216
Mailing address
5304 Gautier Vancleave Rd
Gautier, MS 39553-4216
Phone (228) 326-0521
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06-53002 | MS | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471824000000",
"number": "1649725409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 GAUTIER VANCLEAVE RD",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395534216",
"telephone_number": "228-326-0521",
"fax_number": "228-205-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5304 GAUTIER VANCLEAVE RD",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395534216",
"telephone_number": "228-326-0521",
"fax_number": "228-205-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEELE",
"first_name": "TYNITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2016-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "MS",
"license": "06-53002",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gautier, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.