Katherine Usellis, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN306337 Issued in GA

Practice address

2150 Gordon Ave
Yazoo City, MS 39194-2007

Phone

(206) 450-3013

NPI assigned

Feb 13, 2024

Last updated

Dec 4, 2024By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Gentle Giant Care

  • Nurse Practitioner
  • Atlanta, GA
  • NPI 1578136156
  NPD (past)

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1861257412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 GORDON AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942007",
            "telephone_number": "206-450-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 GORDON AVE",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "391942007",
            "telephone_number": "206-450-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USELLIS",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN306337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raven Dashaun Thomas
• Sarah R Thurmon, FNP
• Timothy J Trammell, PT
• Ericka Travis
• Cynthia Tyner
• Vanjon's Pharmacy, LLC
• Vanjon's Pharmacy, LLC (Vanjon's Pharmacy (LTC))
• Vibha Vig MD PA (Sunshine Medical Clinic)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-3060)
• Walgreen Co (Walgreens #18996)

• Family Nurse Practitioner in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.