BRANDI TYNES (NPI# 1639547425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639547425 |
| Entity Type | Individual |
| Full Name | BRANDI TYNES |
| Practice Address |
1410 Jefferson St Laurel MS 39440-4243 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6014257522 |
| Practice Fax Number | 6016493551 |
| Mailing Telephone | 6014257550 |
| Mailing Fax Number | 6013996281 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2016-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
NP 901423 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1410 JEFFERSON ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003006602 | Hossein Nasajpour | Plastic Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2007-07-30 |
| 1710502661 | Laurel Plastic Surgery LLC | Ophthalmology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2020-06-16 |
| 1316480320 | Kristina Molnar | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2016-11-22 |
| 1093180531 | Kimberly Kennedy | Registered Nurse | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-12-09 |
| 1619345402 | Ashlynn Bennett | Nurse Practitioner | 1410 Jefferson St, Laurel, MS 39440-4243 | 2015-09-10 |
| 1023358132 | South Central Regional Medical Center | Radiology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2013-02-26 |
| 1821362385 | Lauren S Aycock | Registered Nurse | 1410 Jefferson St, Laurel, MS 39440-4243 | 2012-03-01 |
| 1841581352 | South Central Cinics, Inc | Surgery | 1410 Jefferson St, Laurel, MS 39440-4243 | 2011-05-02 |
| 1073828455 | South Central Clinics, Inc | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2010-08-10 |
| 1396993663 | Amy Adams | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2008-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291870 | Fatoumata Ba | Nurse Practitioner | 9900 Washington Blvd N Ste L, Laurel, MD 20723-1972 | 2020-10-03 |
| 1396350484 | Serene Care Holdings | Nurse Practitioner | 14118 Bowsprit Ln Apt 806, Laurel, MD 20707-6318 | 2020-09-15 |
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1003425844 | We Walk Together | Nurse Practitioner | 8406 Shadeland Rd, Laurel, MD 20724-1922 | 2020-07-28 |
| 1952919870 | Lauren Abbie Collins | Nurse Practitioner | 32504 Mount Pleasant Rd, Laurel, DE 19956-4246 | 2020-07-16 |
| 1215552302 | Ulrica Olayinka Mbayo | Nurse Practitioner | 3201 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-06-15 |
| 1962027599 | Olive Mouafo | Nurse Practitioner | 10100 Snowdrift Downs, Laurel, MD 20723-5873 | 2020-06-09 |
| 1295355832 | Sonia Louis-lapierre | Nurse Practitioner | 9397 3rd St N, Laurel, MD 20723-1922 | 2020-04-23 |
| 1699311571 | Ijeoma D. Anyaibe | Nurse Practitioner | 8101 Sandy Spring Rd Ste 110, Laurel, MD 20707-3596 | 2019-11-26 |
| 1699311712 | Adebisi Allison | Nurse Practitioner | 9319 Player Dr, Laurel, MD 20708-3229 | 2019-11-24 |
| Find all providers in LAUREL | ||||
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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.