Active NPI
Rhoda Lynn Juzang
- Family Nurse Practitioner
- Biloxi, MS
National Provider Identifier
1932209715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R870754
- Practice address
- 180 Debuys Rd
Biloxi, MS 39531-4402 - Phone
- (228) 273-4096
- Fax
- (228) 594-1765
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R870754 | MS | Primary |
Addresses
Primary practice location
180 Debuys Rd
Biloxi, MS 39531-4402
Mailing address
PO Box 4594
Biloxi, MS 39535-4594
Phone (228) 273-4096
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08755026 | Medicaid | MS | |
| 358702YUPL | Other | MS | MS MEDICARE |
| 4864514 | Other | MS | MAILHANDLERS |
| 12671825 | Other | MS | CAQH |
| P01861916 | Other | MS | MEDICARE RR |
| 5198833 | Other | MS | AETNA |
Other names 1
- Ms. Rhoda Lynn Manning
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R870754 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1932209715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4594",
"city": "BILOXI",
"state": "MS",
"postal_code": "395354594",
"telephone_number": "228-273-4096",
"fax_number": "228-594-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 DEBUYS RD",
"city": "BILOXI",
"state": "MS",
"postal_code": "395314402",
"telephone_number": "228-273-4096",
"fax_number": "228-594-1765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUZANG",
"first_name": "RHODA",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R870754",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08755026",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS MEDICARE",
"identifier": "358702YUPL",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAILHANDLERS",
"identifier": "4864514",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12671825",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "P01861916",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5198833",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RHODA",
"last_name": "MANNING",
"middle_name": "LYNN",
"prefix": "MS.",
"credential": "FAMILY NURSE PRACT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Biloxi, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.