Katherine Thames, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R889394 Issued in MS

Practice address

15444 Dedeaux Rd
Suite B
Gulfport, MS 39503-2637

Phone

(228) 832-9038

NPI assigned

Jan 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC

  • Specialist
  • Gulfport, MS
  • NPI 1366560435
  Medicare reassignment
• Cooper Family Medical Center Inc.

  • Clinic/Center
  • Pascagoula, MS
  • NPI 1356478564
  NPD
• Heart Hypertension Cholesterol & Diabetes Care LLC

  dba Primary Care Plus

  • Cardiovascular Disease Physician
  • Gulfport, MS
  • NPI 1902233778
  NPD

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

{
    "created_epoch": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421366400000",
    "number": "1639568892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15444 DEDEAUX RD",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032637",
            "telephone_number": "228-832-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15444 DEDEAUX RD",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032637",
            "telephone_number": "228-832-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMES",
        "first_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2015-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R889394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn Teal, RD, LD
• Teri L Guyer (North Star Counseling Services LLC)
• Cinda Cay Terrebonne
• Venessa Terry, RN
• Amilie T Thames
• Scott Thames, DPT
• The Clinic, Therapy & Consulting LLC
• The Dermatology Clinic, PLLC
• The Eye Clinic PA
• The Great Atlantic and Pacific Tea Company Inc (Sav a Center Pharmacy)

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, 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 Jan 16, 2015; 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.