Individual provider Active NPI

Kevin Floyd, CFNP

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1174075220
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901818 Issued in MS
Practice address
874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone
(662) 841-0002
Fax
(662) 269-6346
NPI assigned
Oct 25, 2016
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 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 901818 MS Primary

Addresses

Primary practice location

874 Barnes Crossing Rd
Tupelo, MS 38804-0909

Mailing address

874 Barnes Crossing Rd
Tupelo, MS 38804-0909
Phone (662) 841-0002

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170223001950 MS Practitioner - Nurse Practitioner 0345524021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Hill Health Services, LLCGroup PAC ID 8921358128, 6 clinicians

Practice addresses (Care Compare)

11145 Hwy 6 W
Thaxton, MS 38871-9024
Phone (662) 489-8500

2580 Jackson Ave W
Oxford, MS 38655-5497
Phone (662) 234-9112

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thaxton Family Medical Clinic LLC CurrentSince Sep 1, 2018 Accepting new patients
Oak Hill Health Services, LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

2580 Jackson Ave W
Ste 44
Oxford, MS 38655
Phone (662) 234-9112

11145 Highway 6 W
Thaxton, MS 38871
Phone (662) 489-8500

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1174075220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 BARNES CROSSING RD",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388040909",
            "telephone_number": "662-841-0002",
            "fax_number": "662-269-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "KEVIN",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.