Kayti A Powell, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

R864059 Issued in MS

Practice address

1488 Hwy 487 East
Sebastopol, MS 39359-0150

Phone

(601) 625-7403

Fax

(601) 625-7404

NPI assigned

Jun 24, 2008

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17349/brand/1/csg/1/fhir/r4
• Direct secure messaging: kayti.powell.1@17349.direct.athenahealth.com

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.

• East Central Mississippi Health Care, Inc

  dba Walnut Grove Clinic

  • Federally Qualified Health Center (FQHC)
  • Walnut Grove, MS
  • NPI 1255387619
  Medicare reassignment NPD
• East Central Mississippi Health Care, Inc.

  dba Newton Health Care

  • Federally Qualified Health Center (FQHC)
  • Newton, MS
  • NPI 1184090482
  NPD
• East Central Mississippi Health Care, Inc.

  dba Philadelphia Health Center

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, MS
  • NPI 1679529028
  NPD
• East Central Mississippi Health Care Inc

  dba Sebastopol Clinic

  • Federally Qualified Health Center (FQHC)
  • Sebastopol, MS
  • NPI 1699721209
  NPD (past)
• Neshoba County General Hospital

  dba Neshoba Pediatric Medical Clinic

  • Pediatrics Physician
  • Philadelphia, MS
  • NPI 1942399118
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1730340563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 HWY 487 EAST",
            "address_2": "PO BOX 150",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "393590150",
            "telephone_number": "601-625-7403",
            "fax_number": "601-625-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 HWY 487 EAST",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "393590150",
            "telephone_number": "601-625-7403",
            "fax_number": "601-625-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KAYTI",
        "middle_name": "A",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MS",
            "license": "R864059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06685060",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent Healthcare Management, Inc. (Main Street Medical Clinic of Sebastopol)
• Aser M Kandil, MD
• Benita Joetta Myles, MD
• Gaydon Nowell, M.S.N PMHNP-BC
• Candace Tierra Pearson, APRN, FNP-C
• Karen Reece, FNP
• Rodney L Moore (Moore's Pharmacy)
• Reathia Sue Summers, FNP
• Whitney Marie Talbert, D.M.D.
• Mary Rose Thomas, PMHNP

• Pediatric Nurse Practitioner in Sebastopol, MS
• Providers in Sebastopol, MS by specialty
• Pediatric Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.