Debra Catria Sutton, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R729183 Issued in MS

Practice address

350 W Woodrow Wilson Ave
Suite 611
Jackson, MS 39213-7681

Phone

(601) 713-3233

Fax

(601) 982-0459

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Voice of Calvary Family Health Center Inc

  • Point of Service
  • Jackson, MS
  • NPI 1770525057
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851468268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 LAKE HARBOUR DR",
            "address_2": "APT 408",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571062",
            "telephone_number": "601-957-9405",
            "fax_number": "601-957-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE",
            "address_2": "SUITE 611",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137681",
            "telephone_number": "601-713-3233",
            "fax_number": "601-982-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "DEBRA",
        "middle_name": "CATRIA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R729183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07606048",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Surgical Anesthesia Associates, PA
• Surgicare of Jackson LTD
• Bret Surles, MD
• James W Sutherland, M.D.
• Millicent Paige Suttlar
• Keyona Sutton
• Lakeshia L Sutton, LMSW
• Monica J Sutton, PH.D.
• Tesia Theodora Sutton
• Tiffany Sutton, PT

• Family Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.