Tory Fayard

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

889712 Issued in MS

Practice address

12024 Lamey Bridge Rd
Diberville, MS 39540-8906

Phone

(228) 380-3533

NPI assigned

Dec 23, 2020

Last updated

Dec 23, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1982291936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12024 LAMEY BRIDGE RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408906",
            "telephone_number": "228-380-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12024 LAMEY BRIDGE RD",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395408906",
            "telephone_number": "228-380-3533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "933 Savannah Pl",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395073354",
            "country_code": "US",
            "telephone_number": "228-380-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAYARD",
        "first_name": "TORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "889712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Lynn Duncombe, M.D.
• Dynamic Rehabilitation Services LLC (Neolife PT and Wellness)
• Robert Ray Ellis, DPT
• Dillion Ford Evans, DPT, CSCS
• Qua'Shellea Fairley
• Kathryn Fisher, RN, FNP-BC
• Jordyn Foster
• Angela Chong Gartman, RPH
• Rachael Leigh Getzlaff, RN
• Magan Gilbert, FNP

• Registered Nurse in D'Iberville, MS
• Providers in D'Iberville, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.