Kerin Trinette Connor, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

907112 Issued in MS

Practice address

1161 Church Rd W
Southaven, MS 38671-7144

Phone

(662) 782-5024

NPI assigned

Dec 26, 2024

Last updated

Dec 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horn Lake Family Practice IncGroup PAC ID 9537198213, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Horn Lake Family Practice Inc

  • Adolescent Medicine (Family Medicine) Physician
  • Horn Lake, MS
  • NPI 1508968421
  Medicare reassignment Care Compare group NPD
• Desoto Family Care Clinic, PLLC

  • Family Medicine Physician
  • Southaven, MS
  • NPI 1972028843
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Nurse Practitioner

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1225846991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 CHURCH RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717144",
            "telephone_number": "662-782-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 CHURCH RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386717144",
            "telephone_number": "662-782-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOR",
        "first_name": "KERIN",
        "middle_name": "TRINETTE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "907112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Complete Diagnostic Laboratories, LLC
• Wyatt Compton
• Jerri J Conlee, R.PH.
• Katelyn Lee Conner, PMHNP-BC
• Laura B Connerley, PT, DPT
• Conrad Pearson Clinic PC
• Consolidated Therapies, LLC
• Cecilia Elese Cook
• Makenzie Jewel Cook, P-LPC
• Michael G Cook, OD

• Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.