Nakecia Dungan Kinabrew, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Mendenhall, MS
NPI 1386897635 · NPPES record last updated Oct 30, 2008
Key facts
- NPI
- 1386897635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R856047 (MS)
- Practice address
- 1842 Simpson Highway 149
Mendenhall, MS 39114-3438 - Phone
- (601) 847-2221
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- On-Site Health LLC
Practice addresses (Care Compare)
120 Stone Creek Blvd
Suite 300
Flowood, MS 39232-8211
Phone (769) 333-8808
Hospital & facility affiliations
- Sta Home Health Agency of Jackson, Inc. Dba Accentcare Home Health of Jackson
- Mississippi Homecare of Jackson
- Mississippi Baptist Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000798 | MS | Practitioner - Nurse Practitioner | 4284821976 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R856047 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Current |
Accepting new patients | |
| On-Site Health LLC | Family | Current |
Accepting new patients |
| Wound Management Specialists, LLC | Current |
Accepting new patients | |
| Mississippi Methodist Hospital & Rehabilitation Center, Inc. | Current |
Accepting new patients | |
| Iris Medical Group | Family | Current |
Accepting new patients |
| Healthcare Plus Limited Liability Company | Current |
Accepting new patients | |
| Winston Medical Clinic LLC | Past | Accepting new patients | |
| Trinity Pain Clinic, P.a. | Past | Accepting new patients | |
| Ms Methodist Hospital & Rehabilitation Center | Past | Accepting new patients | |
| Trinity Pain Consultants, PLLC | Past | Accepting new patients |
Locations
2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632
778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620
660 Lakeland East Dr
Ste 106
Flowood, MS 39232
Phone (769) 333-8808
120 Stone Creek Blvd
Ste 500
Flowood, MS 39232
Phone (601) 202-2040
120 Stone Creek Blvd
Flowood, MS 39232
Phone (601) 822-2294
120 Stone Creek Blvd
Ste 300
Flowood, MS 39232
Phone (769) 239-6141
1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340
1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292
Interoperability endpoints
- nakecia.kinabrew.1@24074.direct.athenahealth.com
- nakecia.kinabrew.1@30029.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R856047 | MS | Yes |
Addresses
Primary practice location
1842 Simpson Highway 149
Mendenhall, MS 39114-3438
Mailing address
131 Ellis Dear Rd
Harrisville, MS 39082-4036
Phone (601) 845-0680
Other providers in Mendenhall, MS
- Kiara S Hubbard
- Bobbie Hughes
- Amy Jenkins
- Penelope Jones
- Kimberly Blair Smith DMD PA
- Shelley S Leach
- Peyton Lovelace
- Leanna Maddox
- Shenika Magee
- Maison de Jorice LLC. Dba/ Allure Health
All providers in Mendenhall, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.