Kathryn Conner Carroll, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

902346 Issued in MS

Practice address

17280 Highway 17
Lexington, MS 39095-6614

Phone

(662) 834-1857

NPI assigned

Oct 20, 2017

Last updated

Mar 17, 2018By 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

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathryn.carroll.1@31723.direct.athenahealth.com

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

• Mallory Community Health

  dba Dr. Arenia C. Mallory Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lexington, MS
  • NPI 1740624881
  NPD (past)
• Mallory Community Health

  dba Dr. Arenia C. Mallory Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Durant, MS
  • NPI 1902923527
  NPD (past)

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1093226763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 LINDEN PL",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021806",
            "telephone_number": "601-212-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 HIGHWAY 17",
            "city": "LEXINGTON",
            "state": "MS",
            "postal_code": "390956614",
            "telephone_number": "662-834-1857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Yazoo St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "MS",
            "postal_code": "390953623",
            "country_code": "US",
            "telephone_number": "662-834-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33795 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Durant",
            "state": "MS",
            "postal_code": "390633568",
            "country_code": "US",
            "telephone_number": "662-653-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "276 Nissan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "MS",
            "postal_code": "390467006",
            "country_code": "US",
            "telephone_number": "601-855-5275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9715 Highway 12",
            "address_purpose": "LOCATION",
            "city": "Tchula",
            "state": "MS",
            "postal_code": "391693692",
            "country_code": "US",
            "telephone_number": "662-235-4731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Washington St",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "MS",
            "postal_code": "389304407",
            "country_code": "US",
            "telephone_number": "662-453-4522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "KATHRYN",
        "middle_name": "CONNER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Austin, PHARMD
• Brooke C Bell, DMD
• Better and Brighter Days Counseling Services, PLLC
• Frank A. Brown, M.D.
• Marven Denis Cantave, RD
• Charles W Campbell MD PA
• Dora Christian
• Community Students Learning Center
• Cynthia Ann Cross, APRN
• Cyncare Analytics LLC

• Family Nurse Practitioner in Lexington, MS
• Providers in Lexington, 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 Mar 17, 2018; 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.