Kim Kilpatrick NP LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

KIM KILPATRICK NP LLC

Practice address

1901 Mission 66
Vicksburg, MS 39180-3711

Phone

(601) 636-1050

NPI assigned

Jan 9, 2026

Last updated

Mar 17, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Kilpatrick, NP

Title

Owner

Phone

(601) 636-1050

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Renee Kilpatrick, CFNP

  • Family Nurse Practitioner
  • Vicksburg, MS
  • NPI 1881146306
  Medicare reassignment NPD

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1780542753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391803711",
            "telephone_number": "601-636-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM KILPATRICK NP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-636-1050",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kidzplay Community
• Freda Jemutai Kigen, PMHNP-BC
• Deborah Davis Kilgo, CCC-SLP
• Michael Edward Killen, CRNA
• Kimberly Renee Kilpatrick, CFNP
• Tanner C Kimble, CST/CSFA
• Nedra King
• Theresa Shelly King, RCP
• Aimee Robinson Kinnebrew
• Samantha Rose Klein, DPT

• Nurse Practitioner in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.