Individual provider Active NPI

Lindsey Rose Phyfer, NP

  • Family Nurse Practitioner
  • Starkville, MS
National Provider Identifier
1902538895
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906103 Issued in MS
Practice address
1205 Ms-182
Starkville, MS 39759
Phone
(662) 320-8545
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 906103 MS Primary

Addresses

Primary practice location

1205 Ms-182
Starkville, MS 39759

Mailing address

26457 E Main St Apt 1
West Point, MS 39773-7995
Phone (205) 427-8285

Other practice location 1

961 S Gloster St
Tupelo, MS 38801-6343
Phone (662) 377-4550

Other identifiers 4

IdentifierTypeStateIssuer
1-143331OtherALALABAMA BOARD OF NURSING
F06220258OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
906103OtherMSMISSISSIPPI BOARD OF NURSING
924226OtherMSMISSISSIPPI BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220827000660 AL Practitioner - Nurse Practitioner 1254715048 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Hematology Oncology Assoc LLC CurrentSince Jul 7, 2022 Accepting new patients

Locations

5000 Medical West Way
Ste 610
Bessemer, AL 35022
Phone (205) 481-4511

3670 Grandview Pkwy
Ste 200
Birmingham, AL 35243
Phone (205) 592-5077

500 Office Park Dr
Ste 400
Mountain Brk, AL 35223
Phone (205) 803-4384

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": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1902538895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26457 E MAIN ST APT 1",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397737995",
            "telephone_number": "205-427-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 MS-182",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "39759",
            "telephone_number": "662-320-8545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "961 S Gloster St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388016343",
            "country_code": "US",
            "telephone_number": "662-377-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHYFER",
        "first_name": "LINDSEY",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF NURSING",
            "identifier": "1-143331",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F06220258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI BOARD OF NURSING",
            "identifier": "906103",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI BOARD OF NURSING",
            "identifier": "924226",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.