Individual provider Active NPI

Leah Ketchum, NP

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1780141044
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
903189 Issued in MS
Practice address
1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079
Phone
(855) 212-2273
Fax
(629) 240-6003
NPI assigned
Feb 22, 2019
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903189 MS Primary
Nurse Practitioner 363L00000X 903189 MS

Addresses

Primary practice location

1000 Highland Colony Pkwy Ste 5203
Ridgeland, MS 39157-2079

Mailing address

5410 Maryland Way Ste 400
Brentwood, TN 37027-8087
Phone (855) 212-2273

Other practice location 1

317 Highway 13 S
Morton, MS 39117-3353
Phone (601) 732-6301

Other practice location 2

823 Grand Ave
Yazoo City, MS 39194-3233
Phone (662) 746-2261

Other names 1

  • Leah Harper Former name

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
I20190510001451 MS Practitioner - Nurse Practitioner 3072856236 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Dec 19, 2024 Accepting new patients
Monogram Health Professional Services PC Nurse Practitioner CurrentSince Dec 19, 2024 Accepting new patients
Fast Pace Mississippi, PLLC Nurse Practitioner CurrentSince Jul 1, 2020 Accepting new patients
Yazoo Emergency Group, LLC Nurse Practitioner CurrentSince Nov 17, 2019 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jul 1, 2020 Accepting new patients
Rush Medical Foundation Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

1806 Simpson Highway 49
Magee, MS 39111
Phone (601) 439-1420

1000 Highland Colony Pkwy
Ste 5203
Ridgeland, MS 39157
Phone (601) 427-4734

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

823 Grand Ave
Yazoo City, MS 39194
Phone (601) 746-2261

5410 Maryland Way
Ste 400
Brentwood, TN 37027

Interoperability endpoints

  • Direct secure messaging: leah.ketchum.1@22854.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1780141044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5410 MARYLAND WAY STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278087",
            "telephone_number": "855-212-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHLAND COLONY PKWY STE 5203",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391572079",
            "telephone_number": "855-212-2273",
            "fax_number": "629-240-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 Highway 13 S",
            "address_purpose": "LOCATION",
            "city": "Morton",
            "state": "MS",
            "postal_code": "391173353",
            "country_code": "US",
            "telephone_number": "601-732-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-746-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KETCHUM",
        "first_name": "LEAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903189",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "HARPER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.