Active NPI
Brenton McKay, FNP
- Family Nurse Practitioner
- Iuka, MS
National Provider Identifier
1497276372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 902092
- Practice address
- 1771 Curtis Dr
Iuka, MS 38852-1001 - Phone
- (662) 423-6014
- Fax
- (662) 423-2972
- NPI assigned
- Jun 30, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 902092 | MS | Primary |
Addresses
Primary practice location
1771 Curtis Dr
Iuka, MS 38852-1001
Mailing address
450 E President Ave
Tupelo, MS 38801-5599
Phone (662) 377-4685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 902092 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498780800000",
"number": "1497276372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E PRESIDENT AVE",
"city": "TUPELO",
"state": "MS",
"postal_code": "388015599",
"telephone_number": "662-377-4685",
"fax_number": "662-377-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 CURTIS DR",
"city": "IUKA",
"state": "MS",
"postal_code": "388521001",
"telephone_number": "662-423-6014",
"fax_number": "662-423-2972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "BRENTON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-30",
"last_updated": "2017-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "902092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iuka, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.