Active NPI
Kelly S. Thornton, FNP
- Family Nurse Practitioner
- Booneville, MS
National Provider Identifier
1750492203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R853167
- Practice address
- 2209 N 2ND St
Booneville, MS 38829-7734 - Phone
- (662) 728-0162
- Fax
- (662) 728-0326
- NPI assigned
- Aug 31, 2006
- Last updated
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R853167 | MS | Primary |
Addresses
Primary practice location
2209 N 2ND St
Booneville, MS 38829-7734
Mailing address
820 Highway 2
Corinth, MS 38834-7954
Phone (662) 286-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00086795 | Medicaid | MS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
820 Hwy 2
Corinth, MS 38834-7954
Phone (662) 286-0909
Hospital & facility affiliations
- Centerwell Home Health
- Magnolia Regional Health Center HH & Hospice Agency
- Magnolia Regional Health Center
- Baptist Memorial Hospital Booneville
- North Mississippi Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.15 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 77.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faith Family Clinic of Booneville | Current | Accepting new patients | |
| Faith Family Clinic of Kossuth, LLC | Current | Accepting new patients | |
| Acute Care & Family Clinic of Pontotoc | Past | Accepting new patients | |
| Kossuth Family Health Clinic | Family | Past | Accepting new patients |
Locations
2209 N 2nd St
Booneville, MS 38829
Phone (662) 728-0162
820 Highway 2
Corinth, MS 38834
Phone (662) 286-0909
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CCCCBD
- https://fhir4.healow.com/fhir/r4/CCCCBD/Endpoint/CCCCBD
Organizations & group practices 4
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.
-
- Primary Care Clinic/Center
- Corinth, MS
- NPI 1669810636
-
- Primary Care Clinic/Center
- Booneville, MS
- NPI 1063911485
-
- Nurse Practitioner
- Pontotoc, MS
- NPI 1356459069
-
- Family Nurse Practitioner
- Corinth, MS
- NPI 1679600522
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Booneville, MS
- NPI 1396709978
-
dba CenterWell Home Health
- Home Health Agency
- Tupelo, MS
- NPI 1972509099
-
dba MRHC - Home Health
- Home Health Agency
- Corinth, MS
- NPI 1063576247
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
dba North Mississippi Medical Center
- General Acute Care Hospital
- Tupelo, MS
- NPI 1598875460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1750492203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 HIGHWAY 2",
"city": "CORINTH",
"state": "MS",
"postal_code": "388347954",
"telephone_number": "662-286-0909",
"fax_number": "662-286-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2209 N 2ND ST",
"city": "BOONEVILLE",
"state": "MS",
"postal_code": "388297734",
"telephone_number": "662-728-0162",
"fax_number": "662-728-0326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "KELLY",
"middle_name": "S.",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R853167",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00086795",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Booneville, MS
- Ginger G Tennison, PHARMD
- The Landmark Nursing Center Inc. (The Landmark Nursing & Rehab. Center, Inc.)
- David Scott Therrien, M.D.
- Jacqueline Thomas, LPC
- Michael Steven Thompson, MD
- Sheena Van Tran, DO
- Trina Health of Booneville, Inc
- Trina Health of Booneville, Inc.
- Carla Denise Turner, NURSE AIDE
- United Emergency Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.