Individual provider Active NPI

Breanna Evans, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1609555846
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
906100 Issued in MS
Practice address
302 S Spring St
Tupelo, MS 38804-4822
Phone
(662) 205-0098
NPI assigned
Jul 14, 2023
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 906100 MS Primary

Addresses

Primary practice location

302 S Spring St
Tupelo, MS 38804-4822

Mailing address

PO Box 68
Tupelo, MS 38802-0068
Phone (662) 584-5097

Other practice location 1

1305 City Ave N
Ripley, MS 38663-1157
Phone (662) 584-5097

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
I20231009001172 MS Practitioner - Nurse Practitioner 3870948094 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heale Counseling LLCGroup PAC ID 7416316880, 32 clinicians

Practice addresses (Care Compare)

5699 Getwell Rd
BLDG F5
Southaven, MS 38672-7311
Phone (662) 205-0098

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Behavioral Health Services CurrentSince Sep 15, 2024 Accepting new patients
Heale Counseling, LLC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
TMK Enterprises Psychiatric/Mental Health CurrentSince Sep 1, 2023 Accepting new patients
Psychiatry Associates of Tupelo, Inc. Psychiatric/Mental Health Past Accepting new patients

Locations

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

1305 City Ave N
Ripley, MS 38663
Phone (662) 372-3495

5699 Getwell Rd
Bldg F4
Southaven, MS 38672
Phone (662) 372-3495

5699 Getwell Rd
Bldg F5
Southaven, MS 38672
Phone (662) 392-7277

302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020

Organizations & group practices 4

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": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1609555846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388020068",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S SPRING ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388044822",
            "telephone_number": "662-205-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 City Ave N",
            "address_purpose": "LOCATION",
            "city": "Ripley",
            "state": "MS",
            "postal_code": "386631157",
            "country_code": "US",
            "telephone_number": "662-584-5097",
            "fax_number": "662-495-4079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "BREANNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "906100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.