Active NPI
Kristina Harper, CPM, LM
- Midwife
- Olive Branch, MS
National Provider Identifier
1891185203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 67
- Practice address
- 9086 Pigeon Roost Rd Ste C
Olive Branch, MS 38654 - Phone
- (662) 812-6115
- Fax
- (662) 532-5289
- NPI assigned
- Jan 23, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | TN | ||
| Doula | 374J00000X | |||
| Midwife | 176B00000X | 67 | TN | Primary |
Addresses
Primary practice location
9086 Pigeon Roost Rd Ste C
Olive Branch, MS 38654
Mailing address
9086 Pigeon Roost Rd Ste C
Olive Branch, MS 38654-1627
Phone (662) 812-6115
Other practice location 1
6942 Autumn Oaks Dr
Olive Branch, MS 38654-9379
Phone (662) 812-6115
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67 | TN | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid South Chiropractic of Hernando PLLC | Past | Accepting new patients | |
| Desoto Primary Care Clinic, PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Olive Branch, MS
- NPI 1477643732
-
- Chiropractor
- Hernando, MS
- NPI 1750807301
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530489600000",
"number": "1891185203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9086 PIGEON ROOST RD STE C",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541627",
"telephone_number": "662-812-6115",
"fax_number": "662-532-5289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9086 PIGEON ROOST RD STE C",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "38654",
"telephone_number": "662-812-6115",
"fax_number": "662-532-5289"
}
],
"practiceLocations": [
{
"address_1": "6942 Autumn Oaks Dr",
"address_purpose": "LOCATION",
"city": "Olive Branch",
"state": "MS",
"postal_code": "386549379",
"country_code": "US",
"telephone_number": "662-812-6115",
"fax_number": "662-890-0522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARPER",
"first_name": "KRISTINA",
"name_prefix": "Mrs.",
"credential": "CPM, LM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-23",
"last_updated": "2018-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "TN",
"license": "67",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.