Katelyn Lee Conner, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

902117 Issued in MS

Practice address

6880 Cobblestone Blvd Ste 2
Southaven, MS 38672

Phone

(662) 510-8606

NPI assigned

Jun 21, 2017

Last updated

Oct 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Core Psychiatry IncGroup PAC ID 7618381112, 5 clinicians

In Focus Psychiatry LLCGroup PAC ID 1759673072, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• In Focus Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hernando, MS
  • NPI 1578913885
  Medicare reassignment Care Compare group NPD
• Core Psychiatry Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Collierville, TN
  • NPI 1396344784
  Medicare reassignment Care Compare group NPD
• Magnolia Regional Behavioral Health Services

  • Psychiatry Physician
  • Corinth, MS
  • NPI 1033656889
  Medicare reassignment NPD
• In Focus Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Oxford, MS
  • NPI 1649746660
  NPD

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696636800000",
    "number": "1760902712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 COBBLESTONE BLVD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386729313",
            "telephone_number": "662-510-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 COBBLESTONE BLVD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38672",
            "telephone_number": "662-510-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 W Poplar Ave Ste 7",
            "address_purpose": "LOCATION",
            "city": "Collierville",
            "state": "TN",
            "postal_code": "380172577",
            "country_code": "US",
            "telephone_number": "901-446-0226",
            "fax_number": "901-422-5409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONNER",
        "first_name": "KATELYN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "902117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cecilia Elese Cook

• Psychiatric/Mental Health Nurse Practitioner in Southaven, MS
• Providers in Southaven, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; 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.

Verify at the official NPI Registry.