Active NPI
Alicia Killen
- Family Nurse Practitioner
- Philadelphia, MS
National Provider Identifier
1992611883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 908518
- Practice address
- 1001 Holland Ave
Philadelphia, MS 39350-2161 - Phone
- (601) 385-9111
- NPI assigned
- Aug 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 908518 | MS | Primary |
Addresses
Primary practice location
1001 Holland Ave
Philadelphia, MS 39350-2161
Mailing address
670 Leigh Dr
Columbus, MS 39705-3014
Phone (662) 328-1012
Other practice location 1
5002 Highway 39 N Bldg C
Meridian, MS 39301-1078
Phone (601) 385-9111
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1992611883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 LEIGH DR",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397053014",
"telephone_number": "662-328-1012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HOLLAND AVE",
"city": "PHILADELPHIA",
"state": "MS",
"postal_code": "393502161",
"telephone_number": "601-385-9111"
}
],
"practiceLocations": [
{
"address_1": "5002 Highway 39 N Bldg C",
"address_purpose": "LOCATION",
"city": "Meridian",
"state": "MS",
"postal_code": "393011078",
"country_code": "US",
"telephone_number": "601-385-9111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KILLEN",
"first_name": "ALICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "908518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.