Individual provider Active NPI

Kayana N Bradley, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Byram, MS
National Provider Identifier
1124682877
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902786 Issued in MS
Practice address
310 Byram PL Ste B
Byram, MS 39272-8748
Phone
(601) 487-6904
Fax
(601) 487-6918
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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 AP141508 TX
Family Nurse Practitioner 363LF0000X 902786 MS Primary

Addresses

Primary practice location

310 Byram PL Ste B
Byram, MS 39272-8748

Mailing address

PO Box 320173
Flowood, MS 39232-0173
Phone (769) 258-8166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220127000776 TX Practitioner - Nurse Practitioner 8022400928 Reassigns benefits to 1 organization
I20241107000111 MS Practitioner - Nurse Practitioner 8022400928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902786MSMDFamily Nurse Practitioner
AP141508TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steps & Scopes Pediatric Clinic Family CurrentSince May 1, 2024 Accepting new patients
Signify Health, LLC CurrentSince Aug 29, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 13, 2025 Accepting new patients
Topcare Medical Group Inc PastSince Oct 4, 2020 Accepting new patients
Northeast Pediatrics Associates of Humble PastSince Oct 4, 2020 Accepting new patients

Locations

310 Byram Pl
Ste B
Byram, MS 39272
Phone (601) 487-6904

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18300/brand/1/csg/1/fhir/r4

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1124682877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 320173",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392320173",
            "telephone_number": "769-258-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BYRAM PL STE B",
            "city": "BYRAM",
            "state": "MS",
            "postal_code": "392728748",
            "telephone_number": "601-487-6904",
            "fax_number": "601-487-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KAYANA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP141508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byram, MS

Sources for this page

Verify at the official NPI Registry.