Active NPI
Kim T Le
- Nurse Practitioner
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 905128
- Practice address
- 4500 13TH St
Gulfport, MS 39501-2569 - Phone
- (228) 867-4000
- NPI assigned
- Feb 10, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 905128 | MS | Primary |
Addresses
Primary practice location
4500 13TH St
Gulfport, MS 39501-2569
Mailing address
PO Box 1810
Gulfport, MS 39502-1810
Phone (228) 575-1194
Other practice location 1
1240 Broad Ave Ste B
Gulfport, MS 39501-2416
Phone (601) 456-5100
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1240 Broad Ave
Suite B
Gulfport, MS 39501-2416
Phone (844) 414-2072
4500 13TH St
Gulfport, MS 39501-2515
Phone (228) 867-5201
Hospital & facility affiliations
- Adoration Home Health
- Adoration Home Health
- Deaconess Homecare- Region I
- St Luke Home Health Services
- Memorial Hospital at Gulfport
- Memorial Hospital Biloxi
- Singing River Gulfport
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 905128 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GSW Medical, LLC | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Homedica of Mississippi, LLC | Current | Accepting new patients | |
| Care Doc LLC | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Caredoc LLC | Current | Accepting new patients | |
| Homedica of Louisiana, LLC | Current | Accepting new patients | |
| South Mississippi Nephrology, PLLC | Current | Accepting new patients | |
| D'Iberville Home Program, LLC | Past | Accepting new patients |
Locations
150 Reynoir St
Biloxi, MS 39530
Phone (228) 432-7817
14215 Cook Rd
Biloxi, MS 39532
Phone (228) 872-0516
784 Vieux Marche Mall
Biloxi, MS 39530
Phone (228) 374-2575
5401 Gex Rd
Diamondhead, MS 39525
Phone (228) 436-1225
10374 Lamey Bridge Rd
Diberville, MS 39540
Phone (228) 392-1300
3301 25th Ave
Gulfport, MS 39501
Phone (228) 436-9819
4300B W Railroad St
Gulfport, MS 39501
Phone (228) 863-5705
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
1240 Broad Ave
Ste B
Gulfport, MS 39501
Phone (601) 456-5100
11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000
15200 Community Rd
Gulfport, MS 39503
Phone (228) 575-7000
2525 33rd St
Gulfport, MS 39501
Phone (228) 436-1225
11531 Old Highway 49
Gulfport, MS 39503
Phone (228) 392-7760
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
Interoperability endpoints
- kle@direct.mhg.com
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1225505993
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- Internal Medicine Physician
- Gulfport, MS
- NPI 1336885557
-
- Nephrology Physician
- Gulfport, MS
- NPI 1134168081
-
- Physical Medicine & Rehabilitation Physician
- Gulfport, MS
- NPI 1306583505
-
- Case Manager/Care Coordinator
- Gulfport, MS
- NPI 1841622628
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Biloxi, MS
- NPI 1659767150
Hospital & facility affiliations 65
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Biloxi, MS
- NPI 1093763773
-
- General Acute Care Hospital
- Gulfport, MS
- NPI 1073606901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Gulfport, MS
- NPI 1184956815
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1346994183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1810",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395021810",
"telephone_number": "228-575-1194",
"fax_number": "228-575-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 13TH ST",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012569",
"telephone_number": "228-867-4000"
}
],
"practiceLocations": [
{
"address_1": "1240 Broad Ave Ste B",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395012416",
"country_code": "US",
"telephone_number": "601-456-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LE",
"first_name": "KIM",
"middle_name": "T",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-10",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "905128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.