NPIMap

Individual provider Active NPI

Kathleen Rouprich Huff, PA-C

  • Physician Assistant
  • Centreville, MS
National Provider Identifier
1962940544
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
310400 Issued in LA
Practice address
178 Highway 24 E
Centreville, MS 39631-4171
Phone
(601) 890-0500
Fax
(601) 645-5873
NPI assigned
Feb 3, 2017
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00317 MS
Physician Assistant 363A00000X 310400 LA Primary

Addresses

Primary practice location

178 Highway 24 E
Centreville, MS 39631-4171

Mailing address

178 Highway 24 E
Centreville, MS 39631-4171
Phone (601) 890-0500

Other practice location 1

1190 N State St Ste 502
Jackson, MS 39202-2414
Phone (601) 944-1781

Other names 1

  • Kathleen Kern Rouprich Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615001502 MS Practitioner - Physician Assistant 0648555037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

178 Highway 24
Centreville, MS 39631-4171

178 Hwy 24 E
Centreville, MS 39631-4171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
310400LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Field Memorial Community Hospital CurrentSince Oct 1, 2018 Accepting new patients
Field Memorial Community Hospital CurrentSince Oct 1, 2018 Accepting new patients
Field Memorial Community Hospital Past Accepting new patients

Locations

178 Highway 24 E
Centreville, MS 39631
Phone (601) 890-0500

451 Bank St
Woodville, MS 39669
Phone (601) 888-3421

Interoperability endpoints

  • Direct secure messaging: kathleen.huff.2@1773.direct.athenahealth.com
  • Direct secure messaging: kathleen.huff.4@1773.direct.athenahealth.com

Organizations & group practices 5

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 4

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": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1962940544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 24 E",
            "city": "CENTREVILLE",
            "state": "MS",
            "postal_code": "396314171",
            "telephone_number": "601-890-0500",
            "fax_number": "601-645-5873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1190 N State St Ste 502",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022414",
            "country_code": "US",
            "telephone_number": "601-944-1781",
            "fax_number": "601-353-0439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFF",
        "first_name": "KATHLEEN",
        "middle_name": "ROUPRICH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MS",
            "license": "PA00317",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "310400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "ROUPRICH",
            "middle_name": "KERN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Centreville, MS

Sources for this page

Verify at the official NPI Registry.