MRS. KATHRYN AUDELL PIBURN (NPI# 1275828030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275828030 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN AUDELL PIBURN |
| Credential | ARNP |
| Practice Address |
1887 Spillway Rd Ste 140 Brandon MS 39047 |
| Mailing Address |
2801 E Memorial Rd Suite 140 Edmond OK 73013-6474 |
| Practice Telephone | 6019925532 |
| Practice Fax Number | 6019925547 |
| Mailing Telephone | 4054256100 |
| Mailing Fax Number | 4053301811 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
902549 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
118108 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 106 Clinton Pkwy, Clinton, MS 390564730 | 6019249005 | 6019259463 |
| 1200 N State St # Ll-10, Jackson, MS 392022000 | 6013627280 | 6013628116 |
| 1201 Highway 49 S Ste 1, Richland, MS 392189438 | 6019731576 | 6016640055 |
| 1490 W Government St Ste 100, Brandon, MS 390423024 | 6018251936 | 6018251937 |
| 151 E Metro Dr Ste 103, Flowood, MS 392324405 | 6019923288 | 6019923188 |
| 2173 Main St, Madison, MS 391106309 | 6016053858 | 6016053898 |
| 3011 Greenfield Rd, Pearl, MS 392088712 | 6018259000 | 6019252531 |
| 401 Baptist Dr Ste 1041, Madison, MS 391102009 | 6016052383 | 6016058510 |
| 6250 Old Canton Rd Ste 100, Jackson, MS 392112946 | 6019571015 | 6019569721 |
| 7275 S Siwell Rd, Jackson, MS 392729776 | 6016053858 | 6016053898 |
| Street Address |
1887 SPILLWAY RD STE 140 |
| City | BRANDON |
| State | MS |
| Zip Code | 39047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| 1972530632 | Claudia Weir Anthony | Nurse Practitioner | 1887 Spillway Rd, Brandon, MS 39047 | 2006-06-27 |
| Find all providers in zip 39047 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619913 | Ana Maria Guerra Garcia | Nurse Practitioner | 802 Windsor Cir, Brandon, FL 33510-2927 | 2020-11-05 |
| 1649888769 | Oriberto Iparraguirre Gongora | Nurse Practitioner | 623 Barkfield Loop, Brandon, FL 33511-7121 | 2020-07-14 |
| 1518585603 | Kelsey Blair Edwards | Nurse Practitioner | 1645 W Government St Ste F, Brandon, MS 39042-4602 | 2020-07-06 |
| 1942825088 | Rochelsey Mcdonald | Nurse Practitioner | 185 Holmar Dr, Brandon, MS 39047-9550 | 2020-06-15 |
| 1831718790 | Rezilient Hope LLC | Nurse Practitioner | 1307 Gulf Stream Cir Apt 102, Brandon, FL 33511-2819 | 2020-04-10 |
| 1841829777 | Jasmine M Crosby | Nurse Practitioner | 227 Greenfield Xing, Brandon, MS 39042-8701 | 2020-04-02 |
| 1790311215 | Jennifer Lindsey Meyer | Nurse Practitioner | 205 S Moon Ave Ste 103, Brandon, FL 33511-5716 | 2020-03-16 |
| 1699336628 | April Dawn Randle | Nurse Practitioner | 609 Castlewoods Blvd, Brandon, MS 39047-7357 | 2019-06-20 |
| 1861052243 | Sara Rodriguez | Nurse Practitioner | 1721 S Kings Ave, Brandon, FL 33511-6220 | 2019-06-18 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.