Fairuza Zan Trust
NPI 1508449372 · Early Intervention Provider Agency · Olive Branch, MS
Fairuza Zan Trust is a Early Intervention Provider Agency organization in Olive Branch, MS (NPI 1508449372).
Provider details
- NPI number
- 1508449372
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Iris Gray, Ceo(901) 870-1246
Specialties & taxonomies
Agencies
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Frequently asked questions
- What is Fairuza Zan Trust's NPI number?
- Fairuza Zan Trust's National Provider Identifier (NPI) is 1508449372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairuza Zan Trust?
- Fairuza Zan Trust is classified in the NPPES registry as Early Intervention Provider Agency (Agencies).
- Where is Fairuza Zan Trust located?
- Fairuza Zan Trust's practice location on file with NPPES is 6569 Highway 305 N, Olive Branch, MS 38654-3044.
- What is Fairuza Zan Trust's phone number?
- The practice phone number listed in the NPPES registry for Fairuza Zan Trust is (901) 870-1246.
- Who is the authorized official for Fairuza Zan Trust?
- The authorized official listed on Fairuza Zan Trust's NPPES record is Iris Gray, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairuza Zan Trust's NPI active?
- Yes — Fairuza Zan Trust's NPI (1508449372) is active in the NPPES registry as of the last update on 2023-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.