Kellie Thornton, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

901391 Issued in MS

Practice address

450 E President Ave
Tupelo, MS 38801-5599

Phone

(662) 377-4685

Fax

(662) 377-2755

NPI assigned

Jan 12, 2016

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, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hospital Medicine Associates LLC 208 clinicians

North Mississippi Medical Center, Inc. 361 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004
• Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
• Highland Hills Medical Center Hospital, Senatobia, MS, CCN 250172

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelliethornton@nmhs.medalliesdirect.net

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.

• North Mississippi Medical Center Inc

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347

  MS

  Medicare reassignment Care Compare group NPD
• Hospital Medicine Associates LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1093758781

  MS

  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  MS

  Medicare reassignment NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  MS, TX

  Medicare reassignment NPD
• North Mississippi Medical Center Inc.

  • Neurology Physician
  • Tupelo, MS
  • NPI 1417357427
  Care Compare group
• North Mississippi Medical Center Inc.

  • Rural Health Clinic/Center
  • Tupelo, MS
  • NPI 1649727447
  Care Compare group
• North Mississippi Medical Center, Inc.

  • Home Health Agency
  • Tupelo, MS
  • NPI 1003871344
  Care Compare group
• North Mississippi Medical Center, Inc.

  • Skilled Nursing Facility
  • Baldwyn, MS
  • NPI 1164539193
  Care Compare group
• North Mississippi Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Tupelo, MS
  • NPI 1265549646
  Care Compare group
• North Mississippi Medical Center, Inc.

  • Rehabilitation Hospital Unit
  • Tupelo, MS
  • NPI 1326155706
  Care Compare group
• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460
  Care Compare group
• North Mississippi Medical Center, Inc.

  • Community Based Hospice Care Agency
  • Tupelo, MS
  • NPI 1982669156
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Memorial Hospital Union County, Inc.

  • General Acute Care Hospital
  • New Albany, MS
  • NPI 1780648352

  Hospital

  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460

  Hospital

  Care Compare affiliation
• Tate County Hospital

  • General Acute Care Hospital
  • Senatobia, MS
  • NPI 1619676251

  Hospital

  Care Compare affiliation
• Tate County Hospital

  • Family Medicine Physician
  • Sarah, MS
  • NPI 1669349502

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1851757413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S GLOSTER ST",
            "address_2": "1ST FLOOR EAST TOWER",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014934",
            "telephone_number": "662-377-2395",
            "fax_number": "662-377-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E PRESIDENT AVE",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388015599",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "KELLIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "901391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Temperate Thompson
• Kimberly Thomson
• Gina Thorderson
• Nels Wallace Thorderson, MD
• Thornton Family Dental Care
• Raymond Barry Thornton, D.M.D.
• Shelia Thornton
• Zoe Thornton
• Deidra N Thrasher
• Abigail Tidwell, OTD, OTR

• All providers in Tupelo, MS
• Gerontology Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.