MRS. MARY KAMRYN BREWER (NPI# 1255943932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255943932 |
| Entity Type | Individual |
| Full Name | MRS. MARY KAMRYN BREWER |
| Credential | FNP-C |
| Practice Address |
6919 Old Canton Rd Ridgeland MS 39157-1268 |
| Mailing Address |
1002 Greenbriar Cir Wesson MS 39191-6803 |
| Practice Telephone | 6019560911 |
| Practice Fax Number | 6019520474 |
| Mailing Telephone | 6017542595 |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 904004 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
904004 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831234 | Mary Clifford Brewer | Dietitian, Registered | 6451 Cotton Hill Rd, Roanoke, VA 24018-6911 | 2018-05-16 |
| 1134550924 | Mary E Brewer | Licensed Practical Nurse | 24900 Forbes Rd, Bedford Hts, OH 44146-5624 | 2013-12-05 |
| 1194163196 | Mary Brewer | Physical Therapy Assistant | 1517 Hummingbird Ln, Virginia Beach, VA 23454-5622 | 2013-06-12 |
| 1053433946 | Mary Elizabeth Brewer | Home Health Aide | 35890 S 16th Road, Barnesville, OH 43713 | 2007-04-04 |
| 1386921849 | Mary Brewer | Pharmacist | 3600 W Washington St, Broken Arrow, OK 74012-6113 | 2011-11-11 |
| 1447530977 | Mary Alison Brewer | Pharmacist | 101 N Midwest Blvd, Midwest City, OK 73110-4318 | 2011-08-29 |
| 1679770762 | Mary Elizabeth Brewer | Physical Therapy Assistant | Vanderbilt University Medical Ctr, 1211 22nd Avenue South, Nashville, TN 37232-0001 | 2007-07-02 |
| 1841284817 | Mary H Brewer | Nurse Anesthetist, Certified Registered | 225 Abraham Flexner Way, 2nd Floor, Louisville, KY 40202-1882 | 2005-09-07 |
| Street Address |
6919 OLD CANTON RD |
| City | RIDGELAND |
| State | MS |
| Zip Code | 39157-1268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023034097 | Jason Hicks | Internal Medicine | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2006-07-14 |
| 1174068415 | Suzanne Webster | Nurse Practitioner | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2016-12-22 |
| 1407081862 | Jerry C Collado | Nurse Practitioner | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2009-05-28 |
| 1679775944 | Courtney Rey Convertino | Pediatrics | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2007-05-31 |
| 1558460642 | Internal Medicine & Pediatric Associates | Pediatrics | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2006-09-22 |
| 1316046410 | Manisha Sethi | Internal Medicine | 6919 Old Canton Rd, Ridgeland, MS 39157-1268 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124631023 | Mychell Thomas | Licensed Practical Nurse | 199 Charmant Place, Ridgeland, MS 39157 | 2020-08-28 |
| 1225680945 | Verthena Edwards | Home Health | 301 Pinehurst Cir, N/a, Ridgeland, MS 39157 | 2019-07-12 |
| 1730663469 | Essential Touchtones | Psychologist | 210 W. Jackson Street, Ridgeland, MS 39157 | 2018-09-19 |
| 1841786365 | Whitney Paige Crum | Speech-Language Pathologist | Laskin Therapy Group Pa, 207 W Jackson St, Ridgeland, MS 39157 | 2018-07-09 |
| 1811487002 | Camille Brockett | Social Worker | 270 Trace Colony Park Dr Ste B, Ridgeland, MS 39157 | 2018-05-14 |
| 1588171177 | Layson Counseling Group, Pllc | Counselor | 573 Hwy 51 Suite B, Ridgeland, MS 39157 | 2018-01-04 |
| 1407376452 | Mobility Rehab LLC | Clinic/Center | 745 S Pear Orchard Road, Apt 335, Ridgeland, MS 39157 | 2017-06-21 |
| 1184165102 | Sinus and Allergy Institute Pllc | Otolaryngology | 1115 Highland Colony Parkway, Suite C, Ridgeland, MS 39157 | 2017-03-09 |
| 1093263410 | Natural Health Project LLC | General Practice | 555 Highway 51, Ridgeland, MS 39157 | 2016-09-14 |
| 1851755714 | Jerlunda Lynn Dudley | Social Worker | 511 Clark Street, Rosedale, MS 39157 | 2016-04-07 |
| Find all providers in zip 39157 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195293 | Britney Sandifer | Nurse Practitioner | 297 Highway 51 Ste C, Ridgeland, MS 39157-3423 | 2020-02-11 |
| 1548820897 | Shannon Flood | Nurse Practitioner | 715 Rice Rd Apt 13a, Ridgeland, MS 39157-3009 | 2019-06-18 |
| 1639634751 | Grace Fairley Hampton | Nurse Practitioner | 715 Rice Rd, Ridgeland, MS 39157-3017 | 2019-02-02 |
| 1679086060 | Ankita Daya | Nurse Practitioner | 1000 Highland Colony Pkwy Ste 7205, Ridgeland, MS 39157-2099 | 2017-11-08 |
| 1265891386 | Bhjm LLC | Nurse Practitioner | 574 Highland Colony Pkwy, Suite 320-k, Ridgeland, MS 39157-6072 | 2016-02-17 |
| 1750779849 | Tiashia Rollins | Nurse Practitioner | 299 Highway 51 Ste F1, Ridgeland, MS 39157-3424 | 2014-12-26 |
| 1750720330 | Allison Ginette Jackson | Nurse Practitioner | 719 N Okatie Hwy # 170, Ridgeland, SC 29936-8276 | 2013-06-18 |
| 1265795678 | Dana Milling Germany | Nurse Practitioner | 101 W Washington St Ste C1, Ridgeland, MS 39157-2434 | 2012-06-20 |
| 1407114432 | Emmanuel Health Services | Nurse Practitioner | 637 Highway 51 North, Suite E, Ridgeland, MS 39157 | 2012-04-27 |
| 1457633034 | Kenyatta N Moore | Nurse Practitioner | 768 N Avery Blvd, Ridgeland, MS 39157-5219 | 2011-09-09 |
| Find all providers in RIDGELAND | ||||
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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.