Kakecha Tiwana Taylor, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

904746 Issued in MS

Practice address

3212 Highway 51 S Ste a
Hernando, MS 38632-2725

Phone

(662) 429-9814

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Convenient Care Clinic, LLC

  • Family Nurse Practitioner
  • Horn Lake, MS
  • NPI 1851490841

  Family, MS

  Medicare reassignment Care Compare group NPD
• Goode Provider

  • Family Nurse Practitioner
  • Southaven, MS
  • NPI 1982491361

  Family, TN

  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family, MS

  Medicare reassignment NPD
• Ms State Department of Health

  • Community/Behavioral Health Agency
  • Jackson, MS
  • NPI 1053489260

  MS

  Medicare reassignment NPD
• Curana Health of Tennessee LLC

  • Family Nurse Practitioner
  • Memphis, TN
  • NPI 1750761060

  Family, TN

  Medicare reassignment NPD
• Fast Pace Medical Clinic PLLC

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1134452865

  TN

  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MS

  Medicare reassignment NPD
• Convenient Care Clinic, LLC

  • Rural Health Clinic/Center
  • Batesville, MS
  • NPI 1073246773

  Family

  Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Mississippi State Department of Health

  • Clinical Medical Laboratory
  • Jackson, MS
  • NPI 1255479630
  NPD
• Ms State Dept of Health

  • Long Term Care Pharmacy
  • Jackson, MS
  • NPI 1376606582
  NPD
• Fast Pace Medical Clinic PLLC

  • Rural Health Clinic/Center
  • Chapel Hill, TN
  • NPI 1316602774
  NPD

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

• Tennessee Valley Home Care, LLC

  • Home Health Agency
  • Parsons, TN
  • NPI 1396702536
  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Goode Provider 2 clinicians

Convenient Care Clinic LLC 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1447478342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 DEER TRAIL CV",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729307",
            "telephone_number": "662-832-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 HIGHWAY 51 S STE A",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322725",
            "telephone_number": "662-429-9814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2747 Kirby Rd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381198236",
            "country_code": "US",
            "telephone_number": "901-203-0750",
            "fax_number": "901-203-0354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Goodman Rd E Ste 3",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719556",
            "country_code": "US",
            "telephone_number": "662-470-7232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KAKECHA",
        "middle_name": "TIWANA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "29839",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl M. Sudduth, RPH.
• Andrea Suggs, REGISTERED NURSE
• Robert Sullivan, EMT-A
• Suncrest Healthcare of West Tennessee, LLC
• Aquarius Taylor-Ross, FNP-C
• Leighanne Alexis Taylor
• Jackie H. Tentoni, RN
• Alexis Thompson
• Courtney Colotta Thompson, PHARM.D.
• Nikki Leann Thompson

• All providers in Hernando, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.