Individual provider Active NPI

Ursula Knight, FNP

  • Primary Care Nurse Practitioner
  • Moss Point, MS
National Provider Identifier
1124576707
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
901500 Issued in MS
Practice address
8006 Highway 613
Moss Point, MS 39562-8200
Phone
(228) 475-1166
NPI assigned
Sep 13, 2016
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901500 MS
Primary Care Nurse Practitioner 363LP2300X 901500 MS Primary

Addresses

Primary practice location

8006 Highway 613
Moss Point, MS 39562-8200

Mailing address

PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 475-1166

Other practice location 1

5907 Highway 90
Moss Point, MS 39563-6536
Phone (228) 769-2611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20161101002088 MS Practitioner - Nurse Practitioner 9739467358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Bay Family Medical Clinic, PAGroup PAC ID 4284628868, 7 clinicians

Practice addresses (Care Compare)

15012 Lemoyne Blvd
Biloxi, MS 39532-5205
Phone (228) 392-5050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Bay Family Medical Clinic, PA CurrentSince Jan 22, 2024 Accepting new patients
USA Health Community Providers LLC CurrentSince Sep 1, 2023 Accepting new patients
Mississippi Providence Healthcare Services Inc. CurrentSince Dec 2, 2019 Accepting new patients

Locations

15012 Lemoyne Blvd
Biloxi, MS 39532
Phone (228) 392-5050

5907 Highway 90
Pascagoula, MS 39563
Phone (225) 769-1611

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1124576707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-475-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8006 HIGHWAY 613",
            "city": "MOSS POINT",
            "state": "MS",
            "postal_code": "395628200",
            "telephone_number": "228-475-1166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5907 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Moss Point",
            "state": "MS",
            "postal_code": "395636536",
            "country_code": "US",
            "telephone_number": "228-769-2611",
            "fax_number": "228-934-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "URSULA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-13",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901500",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "901500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moss Point, MS

Sources for this page

Verify at the official NPI Registry.