Individual provider Active NPI

Katelynn Cliburn Bradley

  • Certified Registered Nurse Anesthetist
  • Ferriday, LA
National Provider Identifier
1942063516
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
239570 Issued in LA
Practice address
6569 Highway 84
Ferriday, LA 71334-4573
Phone
(318) 757-6551
NPI assigned
Feb 5, 2024
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 239570 LA Primary
Registered Nurse 163W00000X 914744 MS

Addresses

Primary practice location

6569 Highway 84
Ferriday, LA 71334-4573

Mailing address

53 Muddy Fork Rd
Natchez, MS 39120-8412
Phone (601) 813-3517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207001143 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6204366131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sayer and Soileau Anesthesia LLCGroup PAC ID 1254629223, 8 clinicians

Practice addresses (Care Compare)

107 Front St
Vidalia, LA 71373-2836
Phone (318) 336-2218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
914744MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sayer & Soileau Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2025 Accepting new patients

Locations

6569 Highway 84
Ridgecrest, LA 71334
Phone 3187576551605

107 Front St
Vidalia, LA 71373
Phone (318) 336-2216

4100 International Plz
Ste 600
Ft Worth, TX 76109
Phone (817) 468-4000

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1942063516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 MUDDY FORK RD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391208412",
            "telephone_number": "601-813-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 HIGHWAY 84",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713344573",
            "telephone_number": "318-757-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "KATELYNN",
        "middle_name": "CLIBURN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "239570",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "914744",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferriday, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.