Kalyn Seale

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00714 Issued in MS

Practice address

2416 Mount Pleasant Rd
Hernando, MS 38632-2001

Phone

(662) 560-5966

Fax

(662) 560-5969

NPI assigned

Aug 18, 2021

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kalyn.seale.1@17263.direct.athenahealth.com

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.

• Archipoimen PLLC

  • Clinic/Center
  • Hernando, MS
  • NPI 1881119618
  Medicare reassignment
• Associated Family Medical, LLC

  • Nurse Practitioner
  • Senatobia, MS
  • NPI 1194054304
  NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1790451979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2778 HIGHWAY 51 S",
            "city": "SENATOBIA",
            "state": "MS",
            "postal_code": "386689403",
            "telephone_number": "662-560-5966",
            "fax_number": "662-560-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 MOUNT PLEASANT RD",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322001",
            "telephone_number": "662-560-5966",
            "fax_number": "662-560-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2778 Highway 51 S",
            "address_purpose": "LOCATION",
            "city": "Senatobia",
            "state": "MS",
            "postal_code": "386689403",
            "country_code": "US",
            "telephone_number": "662-560-5966",
            "fax_number": "662-560-5969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEALE",
        "first_name": "KALYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Rowell
• Jennifer Rowland, RN, IBCLC
• Julie L Scarpace, P.T.
• Jeremy Schrimsher, MA
• Susan Scott, F.N.P.
• Robert Burdette Seymour, DDS
• Raymond Calvin Shackelford, OD
• Debra Shelton, LPC, MHSP
• Leanna Nikole Simmons
• Stephanie Simmons

• Physician Assistant in Hernando, MS
• Providers in Hernando, MS by specialty
• Physician Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.