Organization Active NPI

Color Me Jazzy

  • Prosthetic/Orthotic Supplier
  • Ridgeland, MS
National Provider Identifier
1881219046
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
COLOR ME JAZZY
Practice address
665 S Pear Orchard Rd Ste 106-560
Ridgeland, MS 39157-4861
Phone
(662) 207-5923
Fax
(662) 635-5155
NPI assigned
Jun 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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

Authorized official

Name
Jazmine Cobb
Title
Owner
Phone
(662) 207-5923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

665 S Pear Orchard Rd Ste 106-560
Ridgeland, MS 39157-4861

Mailing address

665 S Pear Orchard Rd Ste 106-560
Ridgeland, MS 39157-4861
Phone (662) 207-5923

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 6626355155

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1592006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592006400000",
    "number": "1881219046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD STE 106-560",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574861",
            "telephone_number": "662-207-5923",
            "fax_number": "662-635-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD STE 106-560",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574861",
            "telephone_number": "662-207-5923",
            "fax_number": "662-635-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLOR ME JAZZY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-13",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-207-5923"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "6626355155",
            "affiliation": "N",
            "endpointDescription": "Fax #",
            "address_1": "665 S Pear Orchard Rd Ste 106-560",
            "city": "Ridgeland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391574861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2020; 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.