Individual provider Active NPI

Katelyn Bailey Herring, FNP-BC

  • Family Nurse Practitioner
  • Amory, MS
National Provider Identifier
1386306975
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904887 Issued in MS
Practice address
1208 Guy Pickle Rd
Amory, MS 38821-8212
Phone
(662) 256-3120
Fax
(662) 256-7092
NPI assigned
Oct 11, 2021
Last updated
Jul 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904887 MS Primary

Addresses

Primary practice location

1208 Guy Pickle Rd
Amory, MS 38821-8212

Mailing address

52184 Highway 25 S
Amory, MS 38821-8691
Phone (662) 397-3811

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211109001964 MS Practitioner - Nurse Practitioner 8729477914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Care PLLCGroup PAC ID 8921484817, 6 clinicians

Practice addresses (Care Compare)

1208 Guy Pickle Rd
Amory, MS 38821-8212
Phone (662) 256-3120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
904887MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Care PLLC CurrentSince Dec 12, 2022 Accepting new patients

Locations

1208 Guy Pickle Rd
Amory, MS 38821
Phone (662) 256-3120

Interoperability endpoints

  • Direct secure messaging: katelyn.herring.1@28315.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1386306975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52184 HIGHWAY 25 S",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388218691",
            "telephone_number": "662-397-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 GUY PICKLE RD",
            "city": "AMORY",
            "state": "MS",
            "postal_code": "388218212",
            "telephone_number": "662-256-3120",
            "fax_number": "662-256-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "KATELYN",
        "middle_name": "BAILEY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amory, MS

Sources for this page

Verify at the official NPI Registry.