Kathleen Michele Tate, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

904614 Issued in MS

Practice address

2412 Meadow Oak
Flowood, MS 39232-8780

Phone

(601) 986-1051

NPI assigned

Sep 22, 2020

Last updated

Apr 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St. Dominic Medical Associates LLCGroup PAC ID 0446303168, 130 clinicians

Gastrointestinal Associates PAGroup PAC ID 5294795241, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Dominic-Jackson Memorial Hospital Hospital, Jackson, MS, CCN 250048
• Merit Health River Oaks Hospital, Flowood, MS, CCN 250138
• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
• King's Daughters Medical Center-Brookhaven Hospital, Brookhaven, MS, CCN 250057

Merit-based Incentive Payment System (MIPS)

Final score

89.09 of 100Reported as apm

Quality

73.43

Promoting interoperability

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

76.9 of 100Reported as group

Quality

47.44

Promoting interoperability

98

Improvement activities

40

Cost

77.24

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

Practice roles

Locations

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.

• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Flowood, MS
  • NPI 1093765604
  Medicare reassignment Care Compare group NPD
• St. Dominic Medical Associates LLC

  • Family Medicine Physician
  • Jackson, MS
  • NPI 1407920549
  Medicare reassignment Care Compare group NPD
• Gastrointestinal Associates, P.a.

  • Gastroenterology Physician
  • Madison, MS
  • NPI 1902098288
  NPD
• Gastrointestinal Associates, PA

  • Anesthesiology Physician
  • Flowood, MS
  • NPI 1326587304
  NPD
• St Dominic Medical Associates LLC

  dba St Dominic Pallative Care

  • Hospitalist Physician
  • Jackson, MS
  • NPI 1285987578
  NPD
• St. Dominic Medical Associates, LLC

  dba St. Dominic Dermatology

  • Dermatology Physician
  • Madison, MS
  • NPI 1326646845
  NPD
• St Dominic Medical Associates LLC

  dba St. Dominic Family Practice Associates-Jackson

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1508263179
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• King's Daughters Medical Center

  • General Acute Care Hospital
  • Brookhaven, MS
  • NPI 1972503464
  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• River Oaks Hospital LLC

  dba Merit Health River Oaks

  • General Acute Care Hospital
  • Flowood, MS
  • NPI 1396792032
  Care Compare affiliation
• St Dominic-Jackson Memorial Hospital

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1306876065
  Care Compare affiliation

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1922614171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 LAKELAND DR",
            "address_2": "STE 1460",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164621",
            "telephone_number": "601-982-3202",
            "fax_number": "601-982-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 MEADOW OAK",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328780",
            "telephone_number": "601-986-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 Lakeland Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164620",
            "country_code": "US",
            "telephone_number": "601-200-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TATE",
        "first_name": "KATHLEEN",
        "middle_name": "MICHELE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "904614",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey T Summers, M.D.
• William J Sutton
• Michelle N. Taheri, M.D.
• Tamara Coleman Counseling LLC
• Natasha Evette Tarrio
• Katie Williamson Taunton, DPT
• Antonique Taylor-Anderson
• Candice Taylor, D.C.
• Katie Taylor
• Malcolm P Taylor, M.D.

• Nurse Practitioner in Flowood, MS
• Providers in Flowood, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.

Verify at the official NPI Registry.