MRS. MARSHA ELLEN VYVERBERG (NPI# 1770915795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770915795 |
| Entity Type | Individual |
| Full Name | MRS. MARSHA ELLEN VYVERBERG |
| Credential | FPMHNP |
| Practice Address |
4105 Hospital St. Suite 104 Pascagoula MS 39531 |
| Mailing Address |
2809 Denny Ave Pascagoula MS 39581-5301 |
| Practice Telephone | 2286969224 |
| Mailing Telephone | 2288095000 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
R889555 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4105 HOSPITAL ST. SUITE 104 |
| City | PASCAGOULA |
| State | MS |
| Zip Code | 39531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891354114 | Michael John Baker | Nurse Practitioner | 4502 Lt Eugene J Majure Dr, Pascagoula, MS 39581-5305 | 2019-06-11 |
| 1487012043 | Lacondra Malcom | Nurse Practitioner | 4502 Vega St, Pascagoula, MS 39581-5305 | 2016-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
| 1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
| 1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
| 1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
| 1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
| 1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
| Find all providers with the same taxonomy | ||||
| City | PASCAGOULA |
| Zip Code | 39531 |
Please comment or provide details below to improve the information on MRS. MARSHA ELLEN VYVERBERG.
| 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.