Kyla Ivory, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

1280521 Issued in MS

Practice address

1480 S Gallatin St
Jackson, MS 39201-6311

Phone

(601) 207-2410

Fax

(601) 603-9981

NPI assigned

May 11, 2021

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1902480262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 S GALLATIN ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392016311",
            "telephone_number": "601-207-2410",
            "fax_number": "601-603-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 S GALLATIN ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392016311",
            "telephone_number": "601-207-2410",
            "fax_number": "601-603-9981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 W McDowell Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392045402",
            "country_code": "US",
            "telephone_number": "601-207-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVORY",
        "first_name": "KYLA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MS",
            "license": "1280521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Walter Ishee, CRNA
• Sara Emily Islam, MD
• Getty E Israel, MPH
• Owen Bailey Ivan, MD
• Hannah Foreman Ivison, NP-C
• Jennifer M Ivy, LPTA
• Chinenye Ogoma Iwuchukwu, M.D
• Rathi V Iyer, M.D.
• J & R Optical
• Elizabeth Jabaley, MD

• Home Health Registered Nurse in Jackson, MS
• Providers in Jackson, MS by specialty
• Home Health Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.