Individual provider Active NPI

Kimberly Elizabeth Strong, CFNP

  • Family Nurse Practitioner
  • Flowood, MS
National Provider Identifier
1144668146
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R881742 Issued in MS
Practice address
252 Katherine Dr
Ste a
Flowood, MS 39232-9024
Phone
(601) 421-0012
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R881742 MS Primary

Addresses

Primary practice location

252 Katherine Dr
Ste a
Flowood, MS 39232-9024

Mailing address

252 Katherine Dr
Ste a
Flowood, MS 39232-9024
Phone (601) 421-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2022 through Jan 1, 2028

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1144668146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 KATHERINE DR",
            "address_2": "STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329024",
            "telephone_number": "601-421-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 KATHERINE DR",
            "address_2": "STE A",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329024",
            "telephone_number": "601-421-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONG",
        "first_name": "KIMBERLY",
        "middle_name": "ELIZABETH",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R881742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowood, MS

Sources for this page

Verify at the official NPI Registry.