Active NPI
Brandi B Keith, FNP
- Family Nurse Practitioner
- Decatur, MS
National Provider Identifier
1578746285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R869775
- Practice address
- 14884 Hwy 15
Decatur, MS 39327 - Phone
- (601) 635-2258
- Fax
- (601) 635-2259
- NPI assigned
- Dec 17, 2007
- Last updated
- Nov 6, 2013
- Sex
- Female
- 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 | R869775 | MS | Primary |
Addresses
Primary practice location
14884 Hwy 15
Decatur, MS 39327
Mailing address
PO Box 2106
Meridian, MS 39302-2106
Phone (601) 703-4282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08508350 | Medicaid | MS |
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 |
|---|---|---|---|
| R869775 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1578746285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2106",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393022106",
"telephone_number": "601-703-4282",
"fax_number": "601-703-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14884 HWY 15",
"city": "DECATUR",
"state": "MS",
"postal_code": "39327",
"telephone_number": "601-635-2258",
"fax_number": "601-635-2259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEITH",
"first_name": "BRANDI",
"middle_name": "B",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R869775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08508350",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, MS
- Sara Ratcliff Hayes, OTR/L
- Meagan Higginbotham, LPC
- Hopecrest Mental Health Services, LLC
- Derrick Wesley Jones, ATC
- Kalena Smith (Tonie's Caring Hearts LLC)
- Laboratory Corporation of America Holdings
- Laird Hospital, Inc. (Ochsner Health Center- Decatur)
- Julie Clanton Mangum, M.S., CCC-SLP
- Cynthia B. Massey, NP
- Natalie Boggan May, M.S., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.