Kathleen Suzanne Seymour-Swetman
Individual provider Active NPI Family Nurse Practitioner · Vancleave, MS
NPI 1700564317 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1700564317
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 906058 (MS)
- Practice address
- 13300 Jim Ramsay Rd
Vancleave, MS 39565-9493 - Phone
- (228) 297-5767
- NPI assigned
- Jul 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241028003835 | MS | Practitioner - Nurse Practitioner | 7012440118 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 906058 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LHCG CXCV, LLC | Current |
Accepting new patients |
Locations
1641 Popps Ferry Rd
Ste A6
Biloxi, MS 39532
Phone (228) 207-4128
1641 Popps Ferry Rd
#A6
Biloxi, MS 39532
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 906058 | MS | Yes |
Addresses
Primary practice location
13300 Jim Ramsay Rd
Vancleave, MS 39565-9493
Mailing address
13300 Jim Ramsay Rd
Vancleave, MS 39565-9493
Phone (228) 297-5767
Other providers in Vancleave, MS
- Katherine Sloop Roberts
- Jayme Robinson
- Charlene Russell
- Kimberly Nicole Sanders
- Nathaniel Lee Sexton
- Pooja Sharma
- Kaila Sue Shoemake
- Bobby Nicole Shows
- Myra Jane Sikora
- Singing River Health System
All providers in Vancleave, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.