Active NPI
Isabelle Rose Garza
- Student in an Organized Health Care Education/Training Program
- Jackson, MS
National Provider Identifier
1730928482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2500 North State Street
Attn School of Medicine
Jackson, MS 39216 - Phone
- (601) 984-5012
- NPI assigned
- May 22, 2024
- Last updated
- May 22, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2500 North State Street
Attn School of Medicine
Jackson, MS 39216
Mailing address
2500 North State Street
Attn School of Medicine
Jackson, MS 39216
Phone (601) 984-5012
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1730928482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "ATTN SCHOOL OF MEDICINE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-5012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NORTH STATE STREET",
"address_2": "ATTN SCHOOL OF MEDICINE",
"city": "JACKSON",
"state": "MS",
"postal_code": "39216",
"telephone_number": "601-984-5012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "ISABELLE",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.