NPIMap

Individual provider Active NPI

Nakecia Dungan Kinabrew, FNP-BC

  • Family Nurse Practitioner
  • Mendenhall, MS
National Provider Identifier
1386897635
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R856047 Issued in MS
Practice address
1842 Simpson Highway 149
Mendenhall, MS 39114-3438
Phone
(601) 847-2221
NPI assigned
Oct 30, 2008
Last updated
Oct 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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 R856047 MS Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000798 MS Practitioner - Nurse Practitioner 4284821976 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On-Site Health LLCGroup PAC ID 1658770953, 2 clinicians

Practice addresses (Care Compare)

120 Stone Creek Blvd
Suite 300
Flowood, MS 39232-8211
Phone (769) 333-8808

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R856047MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company CurrentSince Aug 1, 2025 Accepting new patients
On-Site Health LLC Family CurrentSince May 23, 2025 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Apr 2, 2025 Accepting new patients
Iris Medical Group Family CurrentSince Apr 1, 2025 Accepting new patients
Wound Management Specialists, LLC CurrentSince Aug 1, 2025 Accepting new patients
Ms Methodist Hospital & Rehabilitation Center Past Accepting new patients
Winston Medical Clinic LLC Past Accepting new patients
Trinity Pain Consultants, PLLC Past Accepting new patients
Trinity Pain Clinic, P.a. Past Accepting new patients

Locations

2781 C T Switzer SR Dr
Ste 100
Biloxi, MS 39531
Phone (228) 207-8632

120 Stone Creek Blvd
Flowood, MS 39232
Phone (601) 822-2294

120 Stone Creek Blvd
Ste 300
Flowood, MS 39232
Phone (769) 239-6141

120 Stone Creek Blvd
Ste 500
Flowood, MS 39232
Phone (601) 202-2040

660 Lakeland East Dr
Ste 106
Flowood, MS 39232
Phone (769) 333-8808

778 Liberty Rd
Flowood, MS 39232
Phone (601) 326-1794

1190 N State St
Ste 2A
Jackson, MS 39202
Phone (601) 292-4292

1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340

Interoperability endpoints

  • Direct secure messaging: nakecia.kinabrew.1@24074.direct.athenahealth.com
  • Direct secure messaging: nakecia.kinabrew.1@30029.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1386897635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 ELLIS DEAR RD",
            "city": "HARRISVILLE",
            "state": "MS",
            "postal_code": "390824036",
            "telephone_number": "601-845-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 SIMPSON HIGHWAY 149",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143438",
            "telephone_number": "601-847-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINABREW",
        "first_name": "NAKECIA",
        "middle_name": "DUNGAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R856047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendenhall, MS

Sources for this page

Verify at the official NPI Registry.