Individual provider Active NPI

Tammy Faucette, CFA

  • Surgical Assistant
  • Meridian, MS
National Provider Identifier
1831420389
Registry record updated Jan 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
92373 Issued in MS
Practice address
1200 22ND Ave
Meridian, MS 39301-4009
Phone
(601) 693-7742
Fax
(601) 693-7758
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 92373 MS Primary

Addresses

Primary practice location

1200 22ND Ave
Meridian, MS 39301-4009

Mailing address

9306 Collinsville Cir
Collinsville, MS 39325-9174
Phone (601) 693-7742

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

LicenseStateTypeSpecialty
92373MSMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Plastic Surgery PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264118400000",
    "number": "1831420389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9306 COLLINSVILLE CIR",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "393259174",
            "telephone_number": "601-693-7742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 22ND AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014009",
            "telephone_number": "601-693-7742",
            "fax_number": "601-693-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUCETTE",
        "first_name": "TAMMY",
        "credential": "CFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2010-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "MS",
            "license": "92373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.