Individual provider Active NPI

Katherine Elizabeth Taylor, APRN, FNP-BC

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1588124473
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902446 Issued in MS
Practice address
768 Avery Blvd N
Ridgeland, MS 39157-5219
Phone
(601) 487-6482
NPI assigned
Mar 25, 2019
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 902446 MS Primary

Addresses

Primary practice location

768 Avery Blvd N
Ridgeland, MS 39157-5219

Mailing address

1872 Highway 16 W
Carthage, MS 39051-9128
Phone (662) 528-6639

Other names 1

  • Katherine Elizabeth Triplett Former name

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
I20210901000440 MS Practitioner - Nurse Practitioner 2567868474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustcare Health, LLCGroup PAC ID 0547427858, 40 clinicians

Practice addresses (Care Compare)

1051 Highland Colony Pkwy
Suite E
Ridgeland, MS 39157-7701
Phone (601) 707-3737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902446MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trustcare Health, LLC CurrentSince Oct 23, 2023 Accepting new patients
Community Care Health Network LLC CurrentSince Aug 1, 2021 Accepting new patients
Trustcare Primary Care, LLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

1051 Highland Colony Pkwy
Ste E
Ridgeland, MS 39157
Phone (601) 707-3737

1067 Highland Colony Pkwy
Ridgeland, MS 39157
Phone (601) 707-3490

786 Lake Harbour Dr
Ridgeland, MS 39157
Phone (601) 499-0022

Interoperability endpoints

  • Direct secure messaging: katherine.taylor.1@19538.direct.athenahealth.com

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1588124473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 HIGHWAY 16 W",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390519128",
            "telephone_number": "662-528-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 AVERY BLVD N",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575219",
            "telephone_number": "601-487-6482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "KATHERINE",
        "middle_name": "ELIZABETH",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "TRIPLETT",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.