Kendall Shea Thornton, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R876172 Issued in MS

Practice address

1616 Williams Dr
Leakesville, MS 39451-5622

Phone

(601) 394-2381

Fax

(601) 394-2593

NPI assigned

Jan 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

University of Mississippi School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear,Nose and Throat Surgical Clinic of South Central Ms 6 clinicians

Calhoun Medical Clinic LLC 7 clinicians

Mississippi Family Medicine PC 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne General Hospital Hospital, Waynesboro, MS, CCN 250077

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kendallthornton@mfmpc-ms.direct.office.nextgen.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Calhoun Medical Clinic, LLC

  • Family Medicine Physician
  • Laurel, MS
  • NPI 1558713511

  MS

  Medicare reassignment Care Compare group NPD
• Ear,Nose & Throat Surgical Clinic of South Central Ms

  • Otolaryngology/Facial Plastic Surgery Physician
  • Laurel, MS
  • NPI 1033312772

  MS

  Medicare reassignment Care Compare group NPD
• Mississippi Family Medicine P C

  • Primary Care Clinic/Center
  • Waynesboro, MS
  • NPI 1669522942

  MS

  Medicare reassignment Care Compare group NPD
• Maxem Health Urgent Care Diberville

  • Urgent Care Clinic/Center
  • Diberville, MS
  • NPI 1265991608

  MS

  Medicare reassignment NPD
• Maxem Health Urgent Care Flowood

  • Urgent Care Clinic/Center
  • Flowood, MS
  • NPI 1174070650

  MS

  Medicare reassignment NPD
• Maxem Health Urgent Care Magee

  • Urgent Care Clinic/Center
  • Magee, MS
  • NPI 1235669136

  MS

  Medicare reassignment NPD
• Ocean Springs Urgent Care

  • Urgent Care Clinic/Center
  • Ocean Springs, MS
  • NPI 1871808022

  MS

  Medicare reassignment NPD
• Outreach Health Services,Inc.

  • Community Health Clinic/Center
  • Shubuta, MS
  • NPI 1548359565

  MS

  Medicare reassignment NPD
• Pascagoula Urgent Care

  • Urgent Care Clinic/Center
  • Pascagoula, MS
  • NPI 1235442872

  MS

  Medicare reassignment NPD
• Picayune Urgent Care Clinic, LLC

  • Urgent Care Clinic/Center
  • Picayune, MS
  • NPI 1780723502

  MS

  Medicare reassignment NPD
• Outreach Health Services,Inc.

  • Health Maintenance Organization
  • Heidelberg, MS
  • NPI 1255521480
  NPD
• Coastal Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Leakesville, MS
  • NPI 1801999479
  NPD (past)

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

• Wayne General Hospital

  • General Acute Care Hospital
  • Waynesboro, MS
  • NPI 1679559983

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1134491806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MATTHEW DR",
            "address_2": "STE 2",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672573",
            "telephone_number": "601-394-2381",
            "fax_number": "601-394-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WILLIAMS DR",
            "city": "LEAKESVILLE",
            "state": "MS",
            "postal_code": "394515622",
            "telephone_number": "601-394-2381",
            "fax_number": "601-394-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "KENDALL",
        "middle_name": "SHEA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-27",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R876172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMER",
            "identifier": "R876172",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Rylee, LMFTA
• Sherry A Sanford
• SMH Specialized Care LLC
• Brandon Smith, NP
• Kiersten Faith Stanford
• Merritt B Vise
• Jessica Ashlyn Williams, PMHNP
• Hoyt Aaron Williamson, FNP-BC

• All providers in Leakesville, MS
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.