Active NPI
Kristin Blair Patterson, FNP-C
- Family Nurse Practitioner
- Amory, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 903520
- Practice address
- 1215 Earl Frye Blvd
Amory, MS 38821-5509 - Phone
- (731) 394-1145
- Fax
- (844) 374-0233
- NPI assigned
- Aug 28, 2019
- Last updated
- Mar 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 903520 | MS | Primary |
Addresses
Primary practice location
1215 Earl Frye Blvd
Amory, MS 38821-5509
Mailing address
30029 Bishop Rd
Nettleton, MS 38858-9361
Phone (662) 610-5336
Other practice location 1
65 S Thomas St
Tupelo, MS 38801-4352
Phone (662) 205-4475
Other practice location 2
2464 Main St
Plantersville, MS 38862-5002
Phone (662) 842-4877
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Health Corp of Houston, Inc.Progressive Health of Houston LLC
Practice addresses (Care Compare)
1002 E Madison St
Houston, MS 38851-2428
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903520 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients | |
| East Main Family Medical Clinic LLC | Current | Accepting new patients | |
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients | |
| Strategic Solutions-Panola Medical Center LLC | Current | Accepting new patients | |
| Ultra Health LLC | Current | Accepting new patients | |
| Plantersville Clinic, Inc | Family | Current | Accepting new patients |
| Urgent and Family Care of Houston | Past | Accepting new patients |
Locations
1215 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-9344
255 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-2163
303 Medical Center Dr
Batesville, MS 38606
Phone (662) 563-0155
156 E Walnut Ave
Eupora, MS 39744
Phone (662) 258-8293
1220 E Northside Dr
Ste 170
Jackson, MS 39211
Phone (601) 394-8209
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
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.
-
- Family Nurse Practitioner
- Plantersville, MS
- NPI 1952476921
-
dba Panola Women's and Children's Clinic
- Rural Health Clinic/Center
- Batesville, MS
- NPI 1700349222
-
dba Ultra Health Provders
- Geriatric Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1922469543
MS
-
- Nurse Practitioner
- Tupelo, MS
- NPI 1285072058
-
dba Panola Medical Center
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
-
dba Panola Family and Specialty Clinic
- Rural Health Clinic/Center
- Batesville, MS
- NPI 1366905028
-
- Nurse Practitioner
- Houston, MS
- NPI 1689067233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1902454317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30029 BISHOP RD",
"city": "NETTLETON",
"state": "MS",
"postal_code": "388589361",
"telephone_number": "662-610-5336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 EARL FRYE BLVD",
"city": "AMORY",
"state": "MS",
"postal_code": "388215509",
"telephone_number": "731-394-1145",
"fax_number": "844-374-0233"
}
],
"practiceLocations": [
{
"address_1": "65 S Thomas St",
"address_purpose": "LOCATION",
"city": "Tupelo",
"state": "MS",
"postal_code": "388014352",
"country_code": "US",
"telephone_number": "662-205-4475",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2464 Main St",
"address_purpose": "LOCATION",
"city": "Plantersville",
"state": "MS",
"postal_code": "388625002",
"country_code": "US",
"telephone_number": "662-842-4877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "KRISTIN",
"middle_name": "BLAIR",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "903520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amory, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.