Individual provider Active NPI

Kasi Michelle McDaniel, DNP, FNP-C

  • Family Medicine Physician
  • Ocean Springs, MS
National Provider Identifier
1285196816
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
903269 Issued in MS
Practice address
19 Marks Rd
Ocean Springs, MS 39564-4351
Phone
(228) 278-7477
NPI assigned
Apr 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 903269 MS Primary

Addresses

Primary practice location

19 Marks Rd
Ocean Springs, MS 39564-4351

Mailing address

19 Marks Rd
Ocean Springs, MS 39564-4351
Phone (228) 278-7477

Other practice location 1

1600 E Woodrow Wilson Ave
Jackson, MS 39216-5100
Phone (228) 278-7477

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
903269MSMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1285196816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MARKS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644351",
            "telephone_number": "228-278-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MARKS RD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644351",
            "telephone_number": "228-278-7477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 E Woodrow Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392165100",
            "country_code": "US",
            "telephone_number": "228-278-7477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "KASI",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "903269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.