Active NPI
Margaret Faye Paetz, CPNP
- Pediatric Nurse Practitioner
- Moss Point, MS
National Provider Identifier
1891187431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R865490
- Practice address
- 5605 Highway 614 # B
Moss Point, MS 39562-7569 - Phone
- (228) 273-0400
- Fax
- (228) 333-0759
- NPI assigned
- Feb 18, 2015
- Last updated
- Aug 25, 2023
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | R865490 | MS | Primary |
Addresses
Primary practice location
5605 Highway 614 # B
Moss Point, MS 39562-7569
Mailing address
5605 Highway 614 # B
Moss Point, MS 39562-7569
Phone (228) 273-0400
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
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R865490 | MS | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coast Pediatrics | Pediatrics | Current | Accepting new patients |
Locations
5605 Highway 614
#B
Moss Point, MS 39562
Phone (228) 273-0400
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1891187431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 HIGHWAY 614 # B",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395627569",
"telephone_number": "228-273-0400",
"fax_number": "228-333-0759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 HIGHWAY 614 # B",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395627569",
"telephone_number": "228-273-0400",
"fax_number": "228-333-0759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAETZ",
"first_name": "MARGARET",
"middle_name": "FAYE",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MS",
"license": "R865490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moss Point, MS
- Ms Singing LLC (Singing River Health and Rehabilitation Center)
- Matthew Wayne Murray, M.D.
- New Beginnings Counseling, LLC
- Mary Jean Ney-Mathews, LCSW
- Evelyn Patricia Oliver, CRT
- Shawna Michelle Pankonin, LPC
- Pas-Point Family Clinic
- Pas-Point Family Clinic, LLC
- Pathway Personal Care Home
- Pensacola Health Trust Inc (Singing River Rehabilitation and Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.