Kellie Rone Cauthen, RN, MSN, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R877290 Issued in MS

Practice address

8613 Ms Highway 12
Ackerman, MS 39735-8917

Phone

(662) 285-4400

Fax

(662) 285-9485

NPI assigned

Jan 5, 2011

Last updated

Dec 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1063716082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8613 MS HIGHWAY 12",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358917",
            "telephone_number": "662-285-4400",
            "fax_number": "662-285-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8613 MS HIGHWAY 12",
            "city": "ACKERMAN",
            "state": "MS",
            "postal_code": "397358917",
            "telephone_number": "662-285-4400",
            "fax_number": "662-285-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUTHEN",
        "first_name": "KELLIE",
        "middle_name": "RONE",
        "name_prefix": "Mrs.",
        "credential": "RN, MSN, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-05",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R877290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandywine Health Services of Ms Inc (Choctaw County Nursing Center)
• Brandywine Health Services of Ms, Inc. Dba Choctaw Co. EMS (Choctaw County EMS)
• Sarah Breland, DMD
• Heather Brown
• Carroll Bruister III
• Erin Chandler, FNP
• Chandler's RDL LLC (Hometown Urgent Care of Ackerman)
• Choctaw County (Choctaw County Hospital)
• Choctaw County (Choctaw County Nursing Center)
• Choctaw County (Choctaw Medical Clinic)

• Family Nurse Practitioner in Ackerman, MS
• Providers in Ackerman, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.