TAMMY VINCENT (NPI# 1295107357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295107357 |
| Entity Type | Individual |
| Full Name | TAMMY VINCENT |
| Practice Address |
14116 Customs Blvd Gulfport MS 39503-5164 |
| Mailing Address |
422 Memorial Blvd Picayune MS 39466-5544 |
| Practice Telephone | 6019576300 |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2019-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
R872175 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 422 Memorial Blvd, Picayune, MS 394665544 | 6017982151 | |
| 1 Galleria Blvd # 1420, Metairie, LA 700012082 | 8333625364 |
| Street Address |
14116 CUSTOMS BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39503-5164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073551511 | Daniel Salmeron | Family Medicine | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2006-06-04 |
| 1013473610 | Corschika Henry Hart | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2019-02-19 |
| 1053818245 | Landmark Medical of Mississippi PC | General Practice | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2018-04-12 |
| 1396295382 | Bonnie Rosenthal | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2016-10-13 |
| 1972984136 | Joanne Fairley | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2015-06-13 |
| 1356781819 | Randal Herbert | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2013-06-28 |
| 1952649774 | Jamie Robinson | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2013-01-29 |
| 1366616344 | Amber Martin Arnold | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2008-04-21 |
| 1811079544 | Debra B Baxter | Nurse Practitioner | 14116 Customs Blvd, Gulfport, MS 39503-5164 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515451 | Gulf Coast Neurospa, LLC | Psychiatry & Neurology | 8845 Lorraine Road, Gulfport, MS 39503 | 2020-10-16 |
| 1447865985 | Nicholas Wyrosdick | Physical Therapist | 12261 Us 49 #1, Gulfport, MS 39503 | 2020-09-11 |
| 1750935169 | Ladner Roy Drugs, LLC. | Pharmacy | 12261 Us 49 Suite 16, Gulfport, MS 39503 | 2019-07-25 |
| 1528559440 | Alexander Therapy Services, LLC | Clinic/Center | 15465 Oak Ln Ste 100c, Gulfport, MS 39503 | 2018-05-25 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1083101216 | Gulf Coast Mental Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15094 County Barn Road, Gulfport, MS 39503 | 2018-04-13 |
| 1306343173 | Dr. Raymond Monsour Scurfield, LLC | Community/Behavioral Health | 15465 Oak Lane Ste 100-g, Gulfport, MS 39503 | 2018-04-09 |
| 1952817157 | Mary Beth Welch | Behavioral Analyst | 9230 Old Lorraine Rd, Gulfport, MS 39503 | 2017-12-26 |
| 1831603257 | Beach View Family Dental, Pllc | Dentist | 9072 Lorraine Road, Gulfport, MS 39503 | 2017-11-21 |
| 1437677721 | Mary Stephens Ruffin | Social Worker | 11262 Creek Dr, Gulfport, MS 39503 | 2017-09-07 |
| Find all providers in zip 39503 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588212229 | David Buckheister | Nurse Practitioner | 612 Liz Cir, Gulfport, MS 39503-3712 | 2019-08-27 |
| 1710209184 | Amy Alyssa Simpson-waid | Nurse Practitioner | 11334 Peyton Dr, Gulfport, MS 39503 | 2010-02-25 |
| 1457543183 | Diane C. Jakins | Nurse Practitioner | 400 Security Sq, Gulfport, MS 39507-1932 | 2007-08-16 |
| 1306409040 | Lissa Kelly Baber | Nurse Practitioner | 1340 Broad Ave, Gulfport, MS 39501-2404 | 2019-04-18 |
| 1891289955 | Brittany L Stewart | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2018-06-21 |
| 1023469244 | Michelle Wright Taylor | Nurse Practitioner | 15190 Community Rd, Ste 220, Gulfport, MS 39503-3485 | 2016-06-29 |
| 1023417938 | Carla Ann Rushing | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2014-08-15 |
| 1972910230 | Elizabeth Drummond | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2014-07-18 |
| 1932527264 | Brandi Saksa | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2014-04-03 |
| 1346684925 | Darlene Ann Petersen | Nurse Practitioner | 4500 13th St, Gulfport, MS 39501-2515 | 2013-04-25 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.