Ernestine Ivy, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902734 Issued in MS

Practice address

900 Stark Rd
Starkville, MS 39759-3613

Phone

(662) 323-4400

NPI assigned

Nov 7, 2018

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

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Boa Vida Hospital of Aberdeen, Ms, LLC

  • Multi-Specialty Clinic/Center
  • Aberdeen, MS
  • NPI 1710405741
  Medicare reassignment NPD
• Boa Vida Hospital of Aberdeen, Ms LLC

  • Community/Retail Pharmacy
  • Aberdeen, MS
  • NPI 1134858269
  NPD

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1992273072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 BILLY COLEMAN RD",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397737134",
            "telephone_number": "662-295-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 STARK RD",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593613",
            "telephone_number": "662-323-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVY",
        "first_name": "ERNESTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huxford Pulmonary and Sleep Medicine PLLC
• Cameron S. Huxford, M.D.
• Mary Paige Huxford, D.M.D.
• Imaging Centers for Excellence, LLC
• Taylor Kathryn Irby, COTA/L
• Andrea Michele Jackson
• Ruby J Jackson
• James S. Brown, III, M. D. PLLC
• Karla Y Jamison
• Jennifer Jennings, MS

• Family Nurse Practitioner in Starkville, MS
• Providers in Starkville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.