Individual provider Active NPI

Kayley Huffman

  • Psychiatric/Mental Health Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1548938764
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903808 Issued in MS
Practice address
5915 Getwell Rd BLDG B
Southaven, MS 38672-6455
Phone
(662) 349-2979
Fax
(662) 349-2978
NPI assigned
Sep 1, 2021
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 903808 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903808 MS Primary

Addresses

Primary practice location

5915 Getwell Rd BLDG B
Southaven, MS 38672-6455

Mailing address

2931 Flora Lee Dr S
Nesbit, MS 38651-7004
Phone (870) 740-3207

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
I20211011000129 MS Practitioner - Nurse Practitioner 1355749003 Reassigns benefits to 2 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
Journey to New Beginnings, PLLCGroup PAC ID 5698820447, 6 clinicians

Practice addresses (Care Compare)

5915 Getwell Rd
BLDG B
Southaven, MS 38672-6455
Phone (662) 349-2979

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903808MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care Clinic, LLC Family CurrentSince Sep 27, 2021 Accepting new patients
Convenient Care Clinic, LLC Family CurrentSince Sep 27, 2021 Accepting new patients
Journey to New Beginnings, PLLC CurrentSince Oct 1, 2024 Accepting new patients

Locations

555 Highway 6 E
Batesville, MS 38606
Phone (662) 578-2030

3040 Goodman Rd W
Horn Lake, MS 38637
Phone (662) 280-3428

5915 Getwell Rd
Bldg B
Southaven, MS 38672
Phone (662) 349-2979

Organizations & group practices 3

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1548938764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 FLORA LEE DR S",
            "city": "NESBIT",
            "state": "MS",
            "postal_code": "386517004",
            "telephone_number": "870-740-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5915 GETWELL RD BLDG B",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726455",
            "telephone_number": "662-349-2979",
            "fax_number": "662-349-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "KAYLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903808",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.