Organization Active NPI

Bay Pediatrics LLC

  • Pediatric Nurse Practitioner
  • Bay Saint Louis, MS
National Provider Identifier
1477466688
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
Legal business name
BAY PEDIATRICS LLC
Practice address
828 Highway 90 Ste a
Bay Saint Louis, MS 39520-2721
Phone
(228) 493-2409
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Authorized official

Name
Katherine Stockstill
Title
Nurse Practitioner
Phone
(228) 493-2409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NU Primary

Addresses

Primary practice location

828 Highway 90 Ste a
Bay Saint Louis, MS 39520-2721

Mailing address

5663 Hoda Rd
Kiln, MS 39556-6158

NPI Registry JSON

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

{
    "created_epoch": "1790553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790553600000",
    "number": "1477466688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5663 HODA RD",
            "city": "KILN",
            "state": "MS",
            "postal_code": "395566158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 HIGHWAY 90 STE A",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395202721",
            "telephone_number": "228-493-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A",
        "authorized_official_last_name": "STOCKSTILL",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "228-493-2409"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Saint Louis, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.