Active NPI
Mary Catherine Key, CST,CSFA
- Surgical Assistant
- Olive Branch, MS
National Provider Identifier
1720322498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 137693
- Practice address
- 5847 Weston CV
Olive Branch, MS 38654-3432 - Phone
- (901) 489-8038
- NPI assigned
- Nov 19, 2012
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 137693 | MS | Primary |
Addresses
Primary practice location
5847 Weston CV
Olive Branch, MS 38654-3432
Mailing address
5847 Weston CV
Olive Branch, MS 38654-3432
Phone (901) 489-8038
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 |
|---|---|---|---|
| 137693 | MS | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1720322498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5847 WESTON CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543432",
"telephone_number": "901-489-8038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5847 WESTON CV",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386543432",
"telephone_number": "901-489-8038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEY",
"first_name": "MARY",
"middle_name": "CATHERINE",
"credential": "CST,CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-19",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "MS",
"license": "137693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.