Individual provider Active NPI

Kathryn Lee Fleming, RN,BSN,NP-C

  • Family Nurse Practitioner
  • Meridian, MS
National Provider Identifier
1952795502
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R886378 Issued in MS
Practice address
2103 13TH St
Meridian, MS 39301-4045
Phone
(601) 482-3275
Fax
(601) 482-2164
NPI assigned
Mar 21, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08204 LA
Family Nurse Practitioner 363LF0000X R886378 MS Primary

Addresses

Primary practice location

2103 13TH St
Meridian, MS 39301-4045

Mailing address

2103 13TH St
Meridian, MS 39301-4045
Phone (601) 482-3275

Other practice location 1

66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-7500

Other practice location 2

66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-7500

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AP08204LAMDFamily Nurse Practitioner
R886378MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Corporation of America Holdings Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952795502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 13TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014045",
            "telephone_number": "601-482-3275",
            "fax_number": "601-482-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 13TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014045",
            "telephone_number": "601-482-3275",
            "fax_number": "601-482-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Old Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394018382",
            "country_code": "US",
            "telephone_number": "601-544-7500",
            "fax_number": "601-544-7524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Old Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394018382",
            "country_code": "US",
            "telephone_number": "601-544-7500",
            "fax_number": "601-544-7524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "KATHRYN",
        "middle_name": "LEE",
        "credential": "RN,BSN,NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08204",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R886378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.