NPIMap

Individual provider Active NPI

Kristina Dunn

  • Family Nurse Practitioner
  • Biloxi, MS
National Provider Identifier
1225426927
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R888426 Issued in MS
Practice address
14209 Cook Rd, Suite 200
Memorial Physician Clinics -Neuro and Spine
Biloxi, MS 35932
Phone
(228) 575-2536
Fax
(228) 872-0559
NPI assigned
Jan 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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 R888426 MS Primary

Addresses

Primary practice location

14209 Cook Rd, Suite 200
Memorial Physician Clinics -Neuro and Spine
Biloxi, MS 35932

Mailing address

14209 Cook Rd, Suite 200
Memorial Physician Clinics -Neuro and Spine
Biloxi, MS 35932
Phone (228) 575-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915001075 MS Practitioner - Nurse Practitioner 1254648850 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

1340 Broad Ave
Gulfport, MS 39501-2460

1340 Broad Ave
Gulfport, MS 39501-2465

147 Reynoir St
Biloxi, MS 39530-4123

1501 Bienville Blvd
Ocean Springs, MS 39564-3082
Phone (228) 822-6110

4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-3152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R888426MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orange Grove Urgent Care CurrentSince Aug 1, 2015 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Pascagoula Urgent Care CurrentSince Jul 12, 2015 Accepting new patients

Locations

10556 Highway 49
Gulfport, MS 39503
Phone (228) 539-2399

2210 Denny Ave
Pascagoula, MS 39567
Phone (228) 372-6040

Organizations & group practices 4

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.

Hospital & facility affiliations 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1420243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1225426927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14209 COOK RD, SUITE 200",
            "address_2": "MEMORIAL PHYSICIAN CLINICS -NEURO AND SPINE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "35932",
            "telephone_number": "228-575-2536",
            "fax_number": "228-872-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14209 COOK RD, SUITE 200",
            "address_2": "MEMORIAL PHYSICIAN CLINICS -NEURO AND SPINE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "35932",
            "telephone_number": "228-575-2536",
            "fax_number": "228-872-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "KRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-03",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R888426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.