Individual provider Active NPI

Kaylea Byrd McCraw

  • Family Nurse Practitioner
  • Clarksdale, MS
National Provider Identifier
1851118657
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906914 Issued in MS
Practice address
705 N State St
Clarksdale, MS 38614-6519
Phone
(662) 627-2973
Fax
(662) 624-5595
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 906914 MS Primary

Addresses

Primary practice location

705 N State St
Clarksdale, MS 38614-6519

Mailing address

705 N State St
Clarksdale, MS 38614-6519
Phone (662) 627-2973

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
I20250505001614 MS Practitioner - Nurse Practitioner 3870010762 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Byrd Family Medical Clinic CurrentSince Mar 2, 2025 Accepting new patients

Locations

705 N State St
Clarksdale, MS 38614
Phone (662) 621-2192

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17623/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1851118657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 N STATE ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146519",
            "telephone_number": "662-627-2973",
            "fax_number": "662-627-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 N STATE ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386146519",
            "telephone_number": "662-627-2973",
            "fax_number": "662-624-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAW",
        "first_name": "KAYLEA",
        "middle_name": "BYRD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.