Individual provider Active NPI

Katherine White, NP

  • Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1407992233
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R672254 Issued in MS
Practice address
2899 West 4TH Street
Hattiesburg, MS 39406
Phone
(601) 266-5390
Fax
(601) 266-4205
NPI assigned
Jan 29, 2007
Last updated
Oct 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R672254 MS Primary

Addresses

Primary practice location

2899 West 4TH Street
Hattiesburg, MS 39406

Mailing address

118 College Drive Box 5066
Hattiesburg, MS 39406
Phone (601) 266-5390

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
I20150120002306 MS Practitioner - Nurse Practitioner 0648594747 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Jan 1, 2014 Accepting new patients
Forrest County General Hospital CurrentSince Jan 1, 2014 Accepting new patients
Forrest County General Hospital Current Accepting new patients
University of Southern Mississippi Past Accepting new patients
The University of Southern Mississippi PastSince Oct 13, 2024 Accepting new patients

Locations

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

Organizations & group practices 5

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1407992233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 COLLEGE DRIVE BOX 5066",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39406",
            "telephone_number": "601-266-5390",
            "fax_number": "601-266-4205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 WEST 4TH STREET",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39406",
            "telephone_number": "601-266-5390",
            "fax_number": "601-266-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KATHERINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R672254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.