Active NPI
Lela Brianne Kattawar, FNP
- Family Nurse Practitioner
- Southaven, MS
National Provider Identifier
1265870018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R868653
- Practice address
- 7615 Clarington CV
Southaven, MS 38671-5647 - Phone
- (662) 536-2500
- NPI assigned
- Jun 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R868653 | MS | Primary |
Addresses
Primary practice location
7615 Clarington CV
Southaven, MS 38671-5647
Mailing address
7615 Clarington CV
Southaven, MS 38671-5647
Phone (662) 536-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R868653 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1265870018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7615 CLARINGTON CV",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715647",
"telephone_number": "662-536-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7615 CLARINGTON CV",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715647",
"telephone_number": "662-536-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATTAWAR",
"first_name": "LELA",
"middle_name": "BRIANNE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-13",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R868653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.