Individual provider Active NPI

Kathryn L. Navarro, NP

  • Nurse Practitioner
  • Jackson, MS
National Provider Identifier
1003846015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R861656 Issued in MS
Practice address
1850 Chadwick Dr
Jackson, MS 39204-3404
Phone
(904) 805-1300
Fax
(904) 805-1302
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R861656 MS Primary

Addresses

Primary practice location

1850 Chadwick Dr
Jackson, MS 39204-3404

Mailing address

PO Box 75473
Baltimore, MD 21275-5473
Phone (904) 805-1300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130612000455 LA Practitioner - Nurse Practitioner 6103867643 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincent Emergency Group, LLCGroup PAC ID 0840621926, 43 clinicians

Practice addresses (Care Compare)

1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 280-2200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Emergency Group, LLC Nurse Practitioner CurrentSince May 1, 2020 Accepting new patients
Foucher Emergency Group LLC Nurse Practitioner CurrentSince Jun 1, 2013 Accepting new patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner CurrentSince May 1, 2013 Accepting new patients
Columbus Emergency Services, LLC Nurse Practitioner Past Accepting new patients
Sterling Emergency Services of Mississippi, Inc Nurse Practitioner Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003846015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 75473",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212755473",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 CHADWICK DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043404",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVARRO",
        "first_name": "KATHRYN",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R861656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.