Active NPI
Katherine G Lott, AGACNP
- Acute Care Nurse Practitioner
- Jackson, MS
National Provider Identifier
1821423484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- R876755
- Practice address
- 6295 Old Canton Rd
Apt 23B
Jackson, MS 39211-2908 - Phone
- (601) 463-0676
- NPI assigned
- Sep 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | R876755 | MS | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | R876755 | MS |
Addresses
Primary practice location
6295 Old Canton Rd
Apt 23B
Jackson, MS 39211-2908
Mailing address
6295 Old Canton Rd
Apt 23B
Jackson, MS 39211-2908
Phone (601) 463-0676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01928036 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R876755 | MS | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1821423484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6295 OLD CANTON RD",
"address_2": "APT 23B",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112908",
"telephone_number": "601-463-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6295 OLD CANTON RD",
"address_2": "APT 23B",
"city": "JACKSON",
"state": "MS",
"postal_code": "392112908",
"telephone_number": "601-463-0676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOTT",
"first_name": "KATHERINE",
"middle_name": "G",
"credential": "AGACNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-13",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MS",
"license": "R876755",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MS",
"license": "R876755",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01928036",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.