Individual provider Active NPI

Kara M. White, FNP

  • Nurse Practitioner
  • North Carrollton, MS
National Provider Identifier
1780690545
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R852957 Issued in MS
Practice address
502 George St
North Carrollton, MS 38947
Phone
(662) 237-4525
Fax
(662) 237-9781
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R852957 MS Primary

Addresses

Primary practice location

502 George St
North Carrollton, MS 38947

Mailing address

PO Box 192
North Carrollton, MS 38947-0192
Phone (662) 237-4525

Other identifiers 1

IdentifierTypeStateIssuer
R852957OtherMSSTATE LICENSE

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
I20061220000510 MS Practitioner - Nurse Practitioner 2365441326 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R852957MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Apr 8, 2024 Accepting new patients
Segue Health of Mississippi LLC CurrentSince Feb 25, 2019 Accepting new patients
State of Mississippi-University of Mississippi Medical Center CurrentSince Sep 22, 2020 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Dr Susan Jenay Neely PLLC Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

504 Clinton Center Dr
Ste 4300
Clinton, MS 39056

965 Avent Dr
#J
Grenada, MS 38901
Phone (662) 227-7008

960 Avent Dr
#100A
Grenada, MS 38901
Phone (662) 227-7000

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1780690545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "NORTH CARROLLTON",
            "state": "MS",
            "postal_code": "389470192",
            "telephone_number": "662-237-4525",
            "fax_number": "662-237-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 GEORGE ST",
            "city": "NORTH CARROLLTON",
            "state": "MS",
            "postal_code": "38947",
            "telephone_number": "662-237-4525",
            "fax_number": "662-237-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KARA",
        "middle_name": "M.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R852957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "R852957",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Carrollton, MS

Sources for this page

Verify at the official NPI Registry.