Active NPI
Keri Connelly Purser
- Registered Dietitian
- Pontotoc, MS
National Provider Identifier
1609745348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1279
- Practice address
- 524 Mulberry Ridge Cir
Pontotoc, MS 38863-6749 - Phone
- (601) 218-4765
- NPI assigned
- Oct 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D1279 | MS | Primary |
Addresses
Primary practice location
524 Mulberry Ridge Cir
Pontotoc, MS 38863-6749
Mailing address
524 Mulberry Ridge Cir
Pontotoc, MS 38863-6749
Phone (601) 218-4765
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D1279 | MS | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1609745348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 MULBERRY RIDGE CIR",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388636749",
"telephone_number": "601-218-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 MULBERRY RIDGE CIR",
"city": "PONTOTOC",
"state": "MS",
"postal_code": "388636749",
"telephone_number": "601-218-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURSER",
"first_name": "KERI",
"middle_name": "CONNELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-31",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pontotoc, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.