Kimberly Baugh

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

906747 Issued in MS

Practice address

4815 Attala Road 5233
MC Cool, MS 39108-7700

Phone

(662) 633-9256

NPI assigned

Nov 13, 2024

Last updated

Nov 13, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1356165666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 ATTALA ROAD 5233",
            "city": "MC COOL",
            "state": "MS",
            "postal_code": "391087700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 ATTALA ROAD 5233",
            "city": "MC COOL",
            "state": "MS",
            "postal_code": "391087700",
            "telephone_number": "662-633-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Ms School Based Health, LLC
• Hands of Faith Homecare Agency, LLC (Hands of Faith Homecare Agency)

• Family Nurse Practitioner in McCool, MS
• Providers in McCool, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.