Individual provider Active NPI

Stephanie Kay Bounds, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Poplarville, MS
National Provider Identifier
1740766252
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
902752 Issued in MS
Practice address
302 Highway 11 S
Poplarville, MS 39470-2625
Phone
(601) 403-8971
NPI assigned
Jul 17, 2018
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 902752 MS Primary

Addresses

Primary practice location

302 Highway 11 S
Poplarville, MS 39470-2625

Mailing address

302 Highway 11 S
Poplarville, MS 39470-2625
Phone (601) 403-8971

Other practice location 1

305 W Moody St
Poplarville, MS 39470-7338
Phone (601) 795-4543

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
I20180910000255 MS Practitioner - Nurse Practitioner 1153671300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians

Practice addresses (Care Compare)

305 W Moody St
Pearl River County Hospital
Poplarville, MS 39470-7338
Phone (601) 795-4543

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902752MSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forrest County General Hospital CurrentSince Jul 16, 2018 Accepting new patients
Forrest County General Hospital CurrentSince Feb 1, 2020 Accepting new patients
Forrest General Hospital CurrentSince Feb 1, 2020 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Pearl River County Hospital CurrentSince Jul 16, 2018 Accepting new patients
Forrest County General Hospital Past Accepting new patients

Locations

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

302 Highway 11 S
Poplarville, MS 39470
Phone (601) 403-8284

305 W Moody St
Poplarville, MS 39470
Phone (601) 795-4345

305 W Moody St
#H
Poplarville, MS 39470
Phone (601) 795-4345

Organizations & group practices 6

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 1

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1740766252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HIGHWAY 11 S",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394702625",
            "telephone_number": "601-403-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HIGHWAY 11 S",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394702625",
            "telephone_number": "601-403-8971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W Moody St",
            "address_purpose": "LOCATION",
            "city": "Poplarville",
            "state": "MS",
            "postal_code": "394707338",
            "country_code": "US",
            "telephone_number": "601-795-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUNDS",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplarville, MS

Sources for this page

Verify at the official NPI Registry.