1427206556 NPI number — MS. JANET RICHEY CFNP

Table of content: MS. JANET RICHEY CFNP (NPI 1427206556)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427206556 NPI number — MS. JANET RICHEY CFNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RICHEY
Provider First Name:
JANET
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CFNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BETHAY
Provider Other First Name:
JANET
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CFNP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1427206556
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 2519
Provider Second Line Business Mailing Address:
CARDIOLOGY ASSOCIATES OF NORTH MS, PA
Provider Business Mailing Address City Name:
TUPELO
Provider Business Mailing Address State Name:
MS
Provider Business Mailing Address Postal Code:
38803-2519
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
662-620-6800
Provider Business Mailing Address Fax Number:
662-620-6950

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
499 GLOSTER CREEK VLG
Provider Second Line Business Practice Location Address:
STE. A-2
Provider Business Practice Location Address City Name:
TUPELO
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38801-4600
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-620-6800
Provider Business Practice Location Address Fax Number:
662-620-6950
Provider Enumeration Date:
09/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  R772725 , registered in the state of MS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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