MS. ROMONA BROUSSARD MAYEUX (NPI# 1437151636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437151636 |
| Entity Type | Individual |
| Full Name | MS. ROMONA BROUSSARD MAYEUX |
| Credential | FNP-BC |
| Practice Address |
248 E Capitol St Room 105 Jackson MS 39201-2503 |
| Practice Telephone | 6017142563 |
| Practice Fax Number | 6015104653 |
| Mailing Telephone | 6017142563 |
| Mailing Fax Number | 6015104653 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R881289 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN041380 AP01824 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | APN LICENSE NUMBER | AP01824 | 01 |
| MS | MISSISSIPPI STATES BOARD OF NURSING | R881289 | 01 |
| LA | 1655244 | 05 | |
| LA | RN LICENSE NUMBER | RN041380 | 01 |
| Street Address |
248 E CAPITOL ST ROOM 105 |
| City | JACKSON |
| State | MS |
| Zip Code | 39201-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922325653 | Angela T Haydel | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-20 |
| 1215252044 | B Denise Brown-rouse | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-05 |
| 1538307145 | Tanya M Edwards | Social Worker | 248 E Capitol St, Jackson, MS 39201-2503 | 2009-02-04 |
| 1194976779 | Thomas N Elliott | Psychologist | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2008-10-01 |
| 1497928683 | Qmh LLC | Counselor | 248 E Capitol St, Jackson, MS 39201-2503 | 2008-04-08 |
| 1841497666 | Mary A Cathey | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-06-27 |
| 1245440288 | Vanessa D Cox | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-05-22 |
| 1407074115 | Henry E Goodman | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-04-20 |
| 1992822159 | Leah Headings | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-03-23 |
| 1437293081 | Sharon F Otts | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836874 | Tanericha Lashay Anderson | In Home Supportive Care | 3200 Jackson St, Jackson, MS 39201 | 2013-08-27 |
| 1871617423 | Karen White Jones | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-19 |
| 1912520768 | James Charles Haycraft | Marriage & Family Therapist | 431 N State St, Jackson, MS 39201-1108 | 2020-05-27 |
| 1548758832 | Lisa Allegrezza Sorey | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2018-04-23 |
| 1609287531 | William Mcneese Jr. | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2014-05-13 |
| 1902217805 | Laurel Boyd | Counselor | 431 N State St, Summit Counseling, Jackson, MS 39201-1108 | 2014-05-13 |
| 1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
| 1427350453 | Donald E. Waller | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-23 |
| 1285935932 | Summit Counseling | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-11 |
| 1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
| Find all providers in zip 39201 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113627 | Jessicah Blasdel | Nurse Practitioner | 113 W Michigan Ave, Jackson, MI 49201-1340 | 2020-10-31 |
| 1801406335 | Jade Russell | Nurse Practitioner | 2205 W Morrell St, Jackson, MI 49203-1357 | 2020-08-10 |
| 1992315212 | Patrecia Campbell | Nurse Practitioner | 2570 Bailey Ave Ste 7, Jackson, MS 39213-6905 | 2020-08-01 |
| 1669008926 | Kristine Edwards | Nurse Practitioner | 723 Woodlawn Ave, Jackson, MI 49203-2921 | 2020-03-19 |
| 1295366391 | Christy White | Nurse Practitioner | 363 Old Pinson Rd, Jackson, TN 38301-9576 | 2020-01-28 |
| 1972141620 | Primary Care - Bemis, LLC | Nurse Practitioner | 1385 S Highland Ave Ste B4, Jackson, TN 38301-7547 | 2019-12-12 |
| 1174164263 | Tami Anne Miller | Nurse Practitioner | 124 N Bast St, Jackson, MO 63755-1704 | 2019-10-01 |
| 1265080584 | Cameron Nicole Howard | Nurse Practitioner | 1860 Chadwick Dr Ste 256, Jackson, MS 39204-3486 | 2019-08-29 |
| 1831750843 | Rhiannon Michelle Andresen | Nurse Practitioner | 1022 Greystone Sq, Jackson, TN 38305-3580 | 2019-06-21 |
| 1902376361 | Jenay B Krumm | Nurse Practitioner | 1201 E Michigan Ave Ste 200, Jackson, MI 49201-1855 | 2018-11-28 |
| Find all providers in JACKSON | ||||
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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.