Katie Kerr, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903781 Issued in MS

Practice address

1115 N 2ND St Ste 1
Booneville, MS 38829-1021

Phone

(662) 480-4141

NPI assigned

Apr 12, 2021

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

Electronic endpoints 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

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Express Care of Cleveland, LLCGroup PAC ID 0547502387, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
• Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJIHAA

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.

• Express Care of Cleveland, LLC

  • Urgent Care Clinic/Center
  • Cleveland, MS
  • NPI 1780151381
  Medicare reassignment Care Compare group NPD
• Landmark Internal Medicine

  • Specialist
  • Southaven, MS
  • NPI 1215058094
  NPD
• The Landmark Nursing Center Inc.

  dba The Landmark Nursing & Rehab. Center, Inc.

  • Skilled Nursing Facility
  • Booneville, MS
  • NPI 1427076256
  NPD (past)
• Wound Healing Group, P.a.

  • Emergency Medicine Physician
  • Tupelo, MS
  • NPI 1548446966
  NPD (past)

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

• Baptist Memorial Hospital-Booneville, Inc.

  • General Acute Care Hospital
  • Booneville, MS
  • NPI 1396709978
  Care Compare affiliation
• Gilbert's Home Health Agency, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Tupelo, MS
  • NPI 1972509099
  Care Compare affiliation

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647820800000",
    "number": "1144800251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 N 2ND ST STE 1",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291021",
            "telephone_number": "662-480-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 N 2ND ST STE 1",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291021",
            "telephone_number": "662-480-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "KATIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2022-03-21",
        "certification_date": "2022-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1144800251",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kkerr@lanemark-internalmedicine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Work",
            "address_1": "7615 Clarington Cv",
            "city": "Southaven",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386715647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Neiko Judon, M.ED, PCMHT
• Bradley Kebodeaux, LPC
• Marilyn Rhoads Kelly, NP
• Ken Goodwin, DMD, PA (Park Place Dental)
• Cherry Kennedy, L.P.N.
• Heather J Kirk, FNP
• Halle M Knowles
• Kathy Anderson Lamb, BCBA
• Brandi Jo Lambert, FNP-C
• Vanity Kay Langston

• Family Nurse Practitioner in Booneville, MS
• Providers in Booneville, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2022; 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.