Active NPI
Kayana N Bradley, DNP, APRN, FNP-C
- Family Nurse Practitioner
- Byram, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902786
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 902786 | MS | MD | Family Nurse Practitioner |
| AP141508 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steps & Scopes Pediatric Clinic | Family | Current | Accepting new patients |
| Signify Health, LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Topcare Medical Group Inc | Past | Accepting new patients | |
| Northeast Pediatrics Associates of Humble | Past | 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
- 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.
-
- Pediatrics Physician
- Humble, TX
- NPI 1528142296
-
- Specialist
- Dallas, TX
- NPI 1730337163
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.