Individual provider Active NPI

Kathryn Alred, FNP-C

  • Nurse Practitioner
  • Hernando, MS
National Provider Identifier
1710619622
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
905394 Issued in MS
Practice address
1250 E Commerce St
Hernando, MS 38632-2456
Phone
(662) 298-2238
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 905394 MS Primary

Addresses

Primary practice location

1250 E Commerce St
Hernando, MS 38632-2456

Mailing address

543 Road 1498
Tupelo, MS 38804-8528
Phone (662) 934-4089

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
I20220829000032 MS Practitioner - Nurse Practitioner 4688058472 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
Group practices
Redmed LLCGroup PAC ID 2961633656, 54 clinicians
Cockrell Family Medical Center PCGroup PAC ID 7517954167, 3 clinicians

Practice addresses (Care Compare)

12 Brookes Xing
Pontotoc, MS 38863-1009
Phone (662) 489-4044

120 Norfleet Dr
Senatobia, MS 38668-2220
Phone (662) 301-1128

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
905394MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 1, 2025 Accepting new patients
Redmed, LLC CurrentSince Jun 29, 2022 Accepting new patients
Cockrell Family Medical Center PC CurrentSince May 4, 2023 Accepting new patients
Redmed, LLC CurrentSince Jun 29, 2022 Accepting new patients
Physicians Urgent Care of Corinth, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

171 Lakewood Dr
Batesville, MS 38606
Phone (662) 234-6464

1002 N 2nd St
Booneville, MS 38829
Phone (662) 340-4375

2601 Getwell Rd
Ste 1
Corinth, MS 38834
Phone (662) 287-7138

1250 E Commerce St
Hernando, MS 38632
Phone (662) 298-2238

188 Starlyn Ave
New Albany, MS 38652
Phone (662) 486-2700

6674 Goodman Rd
Olive Branch, MS 38654
Phone (662) 985-7806

1902B Jackson Ave W
Oxford, MS 38655
Phone (662) 234-6464

12 Brookes Crossing
Pontotoc, MS 38863
Phone (662) 489-4044

105A Quality Ln
Ste A
Senatobia, MS 38668

120 Norfleet Dr
Senatobia, MS 38668
Phone (662) 301-1128

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1710619622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 ROAD 1498",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388048528",
            "telephone_number": "662-934-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322456",
            "telephone_number": "662-298-2238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALRED",
        "first_name": "KATHRYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "905394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hernando, MS

Sources for this page

Verify at the official NPI Registry.