MRS. REBECCA PATRICIA FAIRLY CRNA
NPI 1073697090
Nurse Anesthetist, Certified Registered in Jackson, MS
NPI Status: Active since October 25, 2006
Contact Information
2500 N STATE ST
PFS
JACKSON, MS
ZIP 39216
Phone: (601) 984-4619
Fax: (601) 948-4657
- Individual
- Female
- Nurse Anesthetist, Certified Registered
About REBECCA FAIRLY
This page provides the complete NPI Profile along with additional information for Rebecca Fairly, a provider established in Jackson, Mississippi with a medical specialization in Nurse Anesthetist, Certified Registered. The healthcare provider is registered in the NPI registry with number 1073697090 assigned on October 2006. The practitioner's primary taxonomy code is 367500000X with license number R594792 (MS). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1073697090
- Provider Name
- MRS. REBECCA PATRICIA FAIRLY CRNA
- Other Name
- MRS. RBECCA P. FAIRLY CRNA
- Other Name Type
- Professional Name (2)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2500 N STATE ST PFS JACKSON, MS 39216
- Location Phone
- (601) 984-4619
- Location Fax
- (601) 948-4657
- Mailing Address
- 109 LAKE HILL PL BRANDON, MS 39047
- Mailing Phone
- (601) 259-3217
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-25-2006
- Last Update Date
- 12-21-2010
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Anesthetist, Certified Registered
- Taxonomy Code
- 367500000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- R594792
- License State
- MS
- Taxonomy Description
- (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00113607 | MEDICAID (05) | MS | |
| 430001738 | MEDICARE PIN (08) | MS | |
| 512I430296 | MEDICARE PIN (08) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 6 | 9 | 7 | 0 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 12 | 9 | 14 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 1 + 2 + 9 + 1 + 4 + 0 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1073697090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477556231 | UNIVERSITY OPHTHALMOLOGY ASSOCIATES Organization | Ophthalmology | 2500 N STATE ST STE B329 JACKSON, MS 39216 (601) 815-3931 |
| 1770580961 | DR. BRIAN L CRABTREE PHARM.D. Individual | Pharmacist (Psychiatric) | 2500 N STATE ST JACKSON, MS 39216 (601) 351-8013 |
| 1699761064 | STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER Organization | Rehabilitation Unit | 2500 N STATE ST JACKSON, MS 39216 (866) 842-7574 |
| 1760453823 | DR. JEFFERY D CARRON MD Individual | Otolaryngology | 2500 N STATE ST DEPARTMENT OF OTOLARYNGOLOGY JACKSON, MS 39216 (601) 984-5160 |
| 1164499109 | DR. BARRY SAUL RUBEL D.M.D. Individual | Dentist | 2500 N STATE ST JACKSON, MS 39216 (601) 984-6030 |
| 1689641649 | IRINA V BORISSOVA MD, PHD Individual | Anesthesiology (Pediatric Anesthesiology) | 2500 N STATE ST DEPT. OF ANESTHESIOLOGY JACKSON, MS 39216 (601) 984-5900 |
| 1215906573 | DR. TRACY MICHELLE DELLINGER D.D.S. Individual | Dentist | 2500 N STATE ST UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY JACKSON, MS 39216 (601) 984-6028 |
| 1639123078 | WILLIAM HUGH SOREY M.D. Individual | Pediatrics | 2500 N STATE ST JACKSON, MS 39216 (601) 815-8010 |
| 1003862707 | RAPHAEL CORCORAN SNEED M.D. Individual | Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-2940 |
| 1043267990 | DR. KEVIN DEL BEN PHD Individual | Psychologist (Clinical) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1346297090 | MS. VICKY DIANNE MINNINGER CFNP Individual | Nurse Practitioner | 2500 N STATE ST JACKSON, MS 39216 (601) 984-6525 |
| 1578510962 | DOMENIC P ESPOSITO M.D. Individual | Neurological Surgery | 2500 N STATE ST N703 NEUROSURGERY DEPARTMENT JACKSON, MS 39216 (601) 984-5706 |
| 1386681633 | DR. GRAYSON S NORQUIST M.D. Individual | Psychiatry & Neurology (Psychiatry) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1770521718 | MS. JUDITH ROSEMARY O'JILE PHD Individual | Clinical Neuropsychologist | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1730127390 | SAMUEL L. BARNETT M.D. Individual | Neurological Surgery | 2500 N STATE ST N703 NEUROSURGERY DEPARTMENT JACKSON, MS 39216 (601) 984-5706 |
| 1790723294 | MRS. JULIE A SCHUMACHER-COFFEY PHD Individual | Psychologist (Clinical) | 2500 N STATE ST JACKSON, MS 39216 (601) 984-5888 |
| 1073551586 | DR. HANS-GEORG OTTO BOCK M.D. Individual | Medical Genetics (Clinical Genetics (M.D.)) | 2500 N STATE ST DEPARTMENT OF PREVENTIVE MEDICINE JACKSON, MS 39216 (601) 984-1900 |
| 1518905124 | UNIVERSITY PATHOLOGY ASSOCIATES, PLLC Organization | Clinical Medical Laboratory | 2500 N STATE ST JACKSON, MS 39216 (601) 984-1530 |
| 1811938699 | DR. ELIZABETH ANNE CHRIST M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 2500 N STATE ST JACKSON, MS 39216 (601) 815-8173 |
| 1285676908 | DR. WILLIAM RICHARD BOYTE M.D. Individual | Pediatrics (Pediatric Critical Care Medicine) | 2500 N STATE ST JACKSON, MS 39216 (601) 815-8173 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073697090, enumerated in the NPI registry as an "individual" on October 25, 2006
The provider is located at 2500 N State St Pfs Jackson, Ms 39216 and the phone number is (601) 984-4619
The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on October 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.