Kakawonda T Hibbler, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

HIBB-HIF5DC Issued in MS

Practice address

702 Highway 82 E
Indianola, MS 38751-2322

Phone

(662) 207-8492

Fax

(662) 887-7042

NPI assigned

Jul 30, 2021

Last updated

Apr 5, 2022By the provider in NPPES

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

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kakawonda.hibbler.1@23901.direct.athenahealth.com

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.

• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1578236964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 SUNFLOWER AVENUE EXT",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512687",
            "telephone_number": "662-207-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HIGHWAY 82 E",
            "city": "INDIANOLA",
            "state": "MS",
            "postal_code": "387512322",
            "telephone_number": "662-207-8492",
            "fax_number": "662-887-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIBBLER",
        "first_name": "KAKAWONDA",
        "middle_name": "T",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "HIBB-HIF5DC",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "HIBB-HIF5DC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khibbler@sunflower.k12.ms.us",
            "affiliation": "N",
            "address_1": "702 Highway 82 E",
            "city": "Indianola",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387512322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Guardian Angels Homemaker Services
• Jacqueline Hannah
• Harvie D Harrier, MD
• Elizabeth Kaitlin Hawkins, MOTR/L
• Darreth H Henderson, PT, DPT
• Julia R. Hill, DMD
• Chandra Rena Hodges
• Jillian Hodges, MS, CCC-SLP
• Home Health Care Services, Inc. (Adoration Home Health and Hospice Care Mississippi)
• Rona Kaye Huey, FNP-C

• Family Nurse Practitioner in Indianola, MS
• Providers in Indianola, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.