Individual provider Active NPI

Katherine Hilda Dawson, NP-C

  • Family Nurse Practitioner
  • Iuka, MS
National Provider Identifier
1912418781
Registry record updated Oct 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
902371 Issued in MS
Practice address
302 Kaki St
Iuka, MS 38852-1117
Phone
(662) 423-3662
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2017

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 902371 MS Primary

Addresses

Primary practice location

302 Kaki St
Iuka, MS 38852-1117

Mailing address

702 N Pearl St
Iuka, MS 38852-2225

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
I20180215001388 MS Practitioner - Nurse Practitioner 6204196017 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
902371MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center Current Accepting new patients
Pratt Family Medical Clinic, P.a. Family CurrentSince Jul 27, 2020 Accepting new patients
North Harper Minor Medical Clinic, LLC Current Accepting new patients
Corinth Pulmonary Clinic and Rehabilitation, PA CurrentSince Nov 9, 2017 Accepting new patients
Magnolia Regional Health Center Past Accepting new patients
Magnolia Orthopaedics & Sports Medicine, P.a. Past Accepting new patients

Locations

611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961

209 N Harper Rd
Corinth, MS 38834
Phone (662) 286-1901

121 Pratt Dr
Ste 1A
Corinth, MS 38834
Phone (662) 286-0088

121 Pratt Dr
#A
Corinth, MS 38834
Phone (662) 286-0088

401 Alcorn Dr
Ste 2C
Corinth, MS 38834
Phone (662) 286-9255

Interoperability endpoints

  • Direct secure messaging: katherinedawson@magnolia.medalliesdirect.net

Organizations & group practices 8

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": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508371200000",
    "number": "1912418781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 N PEARL ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388522225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KAKI ST",
            "city": "IUKA",
            "state": "MS",
            "postal_code": "388521117",
            "telephone_number": "662-423-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "KATHERINE",
        "middle_name": "HILDA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2017-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iuka, MS

Sources for this page

Verify at the official NPI Registry.