Individual provider Active NPI

Kanisha M McKnight

  • Psychiatric/Mental Health Nurse Practitioner
  • Tylertown, MS
National Provider Identifier
1922949429
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2026000497 Issued in MS
Practice address
40 Q D Dillon Rd
Tylertown, MS 39667-5301
Phone
(601) 814-0757
NPI assigned
Apr 1, 2026
Last updated
Oct 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2026000497 MS Primary

Addresses

Primary practice location

40 Q D Dillon Rd
Tylertown, MS 39667-5301

Mailing address

40 Q D Dillon Rd
Tylertown, MS 39667-5301

Other practice location 1

1137 Highway 98 Byp Ste 4
Columbia, MS 39429-3754
Phone (769) 313-2013

Other practice location 2

3200B Highway 11 N
Picayune, MS 39466-2003
Phone (769) 926-1137

Other practice location 3

833 Highway 90 Ste 19
Bay St Louis, MS 39520-1601
Phone (228) 344-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2715 Bullis Ave
Gulfport, MS 39501-5233

33 Dinan Salem Rd
Tylertown, MS 39667-5965

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2026000497MSMDPsychiatric/Mental Health Nurse Practitioner

Organizations & group practices 1

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": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792627200000",
    "number": "1922949429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 Q D DILLON RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396675301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 Q D DILLON RD",
            "city": "TYLERTOWN",
            "state": "MS",
            "postal_code": "396675301",
            "telephone_number": "601-814-0757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1137 Highway 98 Byp Ste 4",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MS",
            "postal_code": "394293754",
            "country_code": "US",
            "telephone_number": "769-313-2013",
            "fax_number": "601-612-3996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3200B Highway 11 N",
            "address_purpose": "LOCATION",
            "city": "Picayune",
            "state": "MS",
            "postal_code": "394662003",
            "country_code": "US",
            "telephone_number": "769-926-1137",
            "fax_number": "601-612-3996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Highway 90 Ste 19",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395201601",
            "country_code": "US",
            "telephone_number": "228-344-8770",
            "fax_number": "601-612-3996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "KANISHA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "2026000497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tylertown, MS

Sources for this page

Verify at the official NPI Registry.