MS. FAYE CENTENO (NPI# 1861480485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861480485 |
| Entity Type | Individual |
| Full Name | MS. FAYE CENTENO |
| Credential | WHCNP |
| Practice Address |
1102 45th Ave Gulfport MS 39501-2504 |
| Mailing Address |
1116 32nd Ave Gulfport MS 39501-1854 |
| Practice Telephone | 2288631036 |
| Mailing Telephone | 2283007116 |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2018-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
902222 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
15659 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1102 45TH AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407267107 | Mississippi State Department of Health | Public Health or Welfare | 1102 45th Ave, Gulfport, MS 39501-2504 | 2014-05-15 |
| 1063436632 | Lenora Jean Bayes | Nurse Practitioner | 1102 45th Ave, Gulfport, MS 39501-2504 | 2006-07-27 |
| 1336124270 | Coastal Plains Home Health Agency 9a | Home Health | 1102 45th Ave, Gulfport, MS 39501-2504 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265960553 | Rebekah Faith Daniels | Nurse Practitioner | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501-8306 | 2017-05-31 |
| 1750480307 | Connie R. Rolison | Nurse Practitioner | 4577 13th St, Gulfport, MS 39501-2516 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972120665 | Chelsea Lynne Mcgee Walley | Nurse Practitioner | 1880 Bakers Trl, Nesbit, MS 38651-6042 | 2020-06-29 |
| 1225675952 | Victoria Delores Brown | Nurse Practitioner | 5155 Keele St Apt 22d, Jackson, MS 39206-4331 | 2019-12-02 |
| 1497280770 | Jessica Wilder | Nurse Practitioner | 128 Cattail Ln, Ocean Springs, MS 39564-3863 | 2017-04-25 |
| 1609321702 | Ashley Floyd | Nurse Practitioner | 1203 Avenue B Ste 300, Ellisville, MS 39437-2080 | 2016-08-18 |
| 1033571054 | Debra Gail Gill | Nurse Practitioner | 4892 Briarton Dr, Southaven, MS 38672-9571 | 2016-03-29 |
| 1346652377 | Rachel Nichole Ford | Nurse Practitioner | 5963 I 55 N, Jackson, MS 39213-9722 | 2014-05-26 |
| 1831485895 | Anita Sharyl Clinton Donegan | Nurse Practitioner | 1012 Big Lane Dr, Brookhaven, MS 39601-2331 | 2011-06-28 |
| 1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
| 1295936839 | Susan Turiano Crump | Nurse Practitioner | 111 Depot Dr # A, Madison, MS 39110-9395 | 2007-05-30 |
| 1760601967 | Kimberly Lynne Schlagel | Nurse Practitioner | 1200 N State St Ste 430, Jackson, MS 39202-2027 | 2007-04-25 |
| Find all providers with the same taxonomy | ||||
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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.