Individual provider Active NPI

Kristen Thames, FNP-C

  • Family Nurse Practitioner
  • Collinsville, MS
National Provider Identifier
1407493596
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903686 Issued in MS
Practice address
9097 Collinsville Rd
Collinsville, MS 39325-9779
Phone
(601) 626-8874
NPI assigned
Dec 8, 2019
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903686 MS Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903686 MS

Addresses

Primary practice location

9097 Collinsville Rd
Collinsville, MS 39325-9779

Mailing address

11115 Hill Thompson Rd
Collinsville, MS 39325-9313
Phone (601) 678-1065

Other practice location 1

3281 Mountainview Pl Ste C
Meridian, MS 39301-9772
Phone (601) 678-1065

Other practice location 2

11115 Hill Thompson Rd
Collinsville, MS 39325-9313
Phone (601) 678-1065

Other practice location 3

2514 67th Avenue Loop Ste 106
Meridian, MS 39307-7260
Phone (601) 282-5315

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
I20200210001003 MS Practitioner - Nurse Practitioner 5698101798 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Positive Innergy Counseling Services LLCGroup PAC ID 6204298367, 11 clinicians
Laird Hospital, Inc.Group PAC ID 7214991769, 30 clinicians
Alliance Health Center IncGroup PAC ID 1355366113, 9 clinicians

Practice addresses (Care Compare)

1205 22ND Ave
Meridian, MS 39301-4010
Phone (601) 453-5734

1500 Hwy 19 N
Meridian, MS 39307-5335
Phone (601) 483-5353

5000 Hwy 39 N
Meridian, MS 39301-1021
Phone (601) 581-9906

9097 Collinsville Rd
Collinsville, MS 39325-9779
Phone (601) 626-8874

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903686MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Regional Medical Center, Inc. Family CurrentSince Mar 2, 2020 Accepting new patients
Positive Innergy Counseling Services, LLC CurrentSince May 24, 2023 Accepting new patients
Laird Hospital, Inc Family CurrentSince Mar 2, 2020 Accepting new patients
Holistic Health With Kelly LLC CurrentSince Apr 21, 2022 Accepting new patients
Laird Hospital, Inc. CurrentSince Mar 2, 2020 Accepting new patients
Medical Foundation, Inc. CurrentSince Mar 2, 2020 Accepting new patients
Scott Regional Medical Center, Inc Family Current Accepting new patients
Scott Regional Medical Center, Inc. Family CurrentSince Mar 2, 2020 Accepting new patients
Alliance Health Center Inc. Family CurrentSince Dec 20, 2019 Accepting new patients
Medical Foundation, Inc. CurrentSince Mar 2, 2020 Accepting new patients
Laird Hospital, Inc. Current Accepting new patients
Kkares, LLC Psychiatric/Mental Health CurrentSince Dec 15, 2024 Accepting new patients
Medical Foundation, Inc. Past Accepting new patients
Alliance Health Center Inc Past Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

1080 Highway 35 S
Forest, MS 39074
Phone (601) 469-3555

1205 22nd Ave
Meridian, MS 39301
Phone (601) 453-5734

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

5000 Highway 39 N
Meridian, MS 39301
Phone (601) 483-6211

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

252 Northside Dr
Newton, MS 39345
Phone (601) 683-3117

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1575763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1407493596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11115 HILL THOMPSON RD",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "393259313",
            "telephone_number": "601-678-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 COLLINSVILLE RD",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "393259779",
            "telephone_number": "601-626-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3281 Mountainview Pl Ste C",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393019772",
            "country_code": "US",
            "telephone_number": "601-678-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11115 Hill Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "MS",
            "postal_code": "393259313",
            "country_code": "US",
            "telephone_number": "601-678-1065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2514 67th Avenue Loop Ste 106",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393077260",
            "country_code": "US",
            "telephone_number": "601-282-5315",
            "fax_number": "601-852-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAMES",
        "first_name": "KRISTEN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-08",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903686",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903686",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, MS

Sources for this page

Verify at the official NPI Registry.