Individual provider Active NPI

Katherine B Kidd, FNP, BC

  • Family Nurse Practitioner
  • Pass Christian, MS
National Provider Identifier
1861639015
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R830346 Issued in MS
Practice address
8288 Firetower Rd Ste F
Pass Christian, MS 39571-9621
Phone
(228) 222-8900
Fax
(228) 222-8906
NPI assigned
Jan 9, 2009
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 R830346 MS Primary

Addresses

Primary practice location

8288 Firetower Rd Ste F
Pass Christian, MS 39571-9621

Mailing address

2074 Scianna LN
Bay Saint Louis, MS 39520-1653
Phone (662) 251-6205

Other identifiers 1

IdentifierTypeStateIssuer
06436091MedicaidMS

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
I20090217000622 MS Practitioner - Nurse Practitioner 1658436167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Services of the Gulf Coast LLCGroup PAC ID 8426301607, 32 clinicians

Practice addresses (Care Compare)

1018 Cowan Rd
Gulfport, MS 39507-3404
Phone (228) 265-7945

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R830346MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family CurrentSince Apr 25, 2011 Accepting new patients
Memorial Hospital at Gulfport CurrentSince Jul 17, 2023 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Cooper Family Medical Center Inc. CurrentSince Jan 2, 2025 Accepting new patients
Physician Services of the Gulf Coast LLC CurrentSince Jan 2, 2025 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Apr 25, 2011 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients

Locations

921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945

1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856

6652 U S Highway 98
Hattiesburg, MS 39402

1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945

8288 Firetower Rd
Ste F
Pass Christian, MS 39571
Phone (228) 222-8900

450 E President Ave
Tupelo, MS 38801
Phone (662) 377-3204

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Interoperability endpoints

  • Direct secure messaging: katherine.thomas.1@24353.direct.athenahealth.com
  • Direct secure messaging: katherine.thomas@direct.mhg.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1861639015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 SCIANNA LN",
            "city": "BAY SAINT LOUIS",
            "state": "MS",
            "postal_code": "395201653",
            "telephone_number": "662-251-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8288 FIRETOWER RD STE F",
            "city": "PASS CHRISTIAN",
            "state": "MS",
            "postal_code": "395719621",
            "telephone_number": "228-222-8900",
            "fax_number": "228-222-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDD",
        "first_name": "KATHERINE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "FNP, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-09",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R830346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06436091",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pass Christian, MS

Sources for this page

Verify at the official NPI Registry.