KAYTI A POWELL (NPI# 1730340563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730340563 |
| Entity Type | Individual |
| Full Name | KAYTI A POWELL |
| Credential | CPNP |
| Practice Address |
1488 Hwy 487 East Sebastopol MS 39359-0150 |
| Mailing Address |
1488 Hwy 487 East Po Box 150 Sebastopol MS 39359-0150 |
| Practice Telephone | 6016257403 |
| Practice Fax Number | 6016257404 |
| Mailing Telephone | 6016257403 |
| Mailing Fax Number | 6016257404 |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R864059 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06685060 | 05 |
| Street Address |
1488 HWY 487 EAST |
| City | SEBASTOPOL |
| State | MS |
| Zip Code | 39359-0150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205355781 | Gaydon Nowell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2017-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839881 | Shanna Donald | Social Worker | 32 Underwood Street, Sebastopol, MS 39359 | 2020-04-03 |
| 1891189114 | Reathia Sue Summers | Nurse Practitioner | 157 Hwy 492, Sebastopol, MS 39359 | 2015-03-25 |
| 1053524009 | Rodney L Moore | Pharmacy | 16831 Hwy 21 S, Sebastopol, MS 39359 | 2007-05-07 |
| 1427127018 | Malinda Elizabeth Ellis Gilmer | Registered Nurse | 32 Underwood St, Sebastopol, MS 39359 | 2006-11-07 |
| 1609853647 | Karen Reece | Nurse Practitioner | 1488 Highway 487, Sebastopol, MS 39359 | 2005-12-30 |
| 1730178161 | William A Mullendore | Family Medicine | 1488 Hwy 487, Sebastopol, MS 39359 | 2005-10-18 |
| 1881241123 | Mary Rose Thomas | Nurse Practitioner | 1488 Hwy 487, Sebastopol, MS 39359 | 2019-08-21 |
| 1124232806 | James E. Yelverton | Dentist | 1488 Hwy 487, Sebastopol, MS 39359 | 2007-05-10 |
| 1932135522 | John Edwin Witcher | Emergency Medicine | 1488 Hwy 487, Sebastopol Clinic, Sebastopol, MS 39359 | 2006-06-24 |
| 1699721209 | East Central Mississippi Health Care Inc | Clinic/Center | 1488 Hwy 487, Sebastopol, MS 39359 | 2006-05-25 |
| Find all providers in zip 39359 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142943 | Ashley B Chittenden | Nurse Practitioner | 3480 Avis Ln, Southaven, MS 38672-2010 | 2020-10-23 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1972021608 | Dana Brooke Underwood | Nurse Practitioner | 1300 Access Rd Ste 400, Oxford, MS 38655-5211 | 2017-09-01 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1861808974 | Ashley Hickman | Nurse Practitioner | 224 S Church St Ste B, Brookhaven, MS 39601-3232 | 2014-07-09 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1962744482 | Kendra Watts | Nurse Practitioner | 1016 Sixth Ave Ste C, Picayune, MS 39466-3861 | 2013-03-22 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers with the same taxonomy | ||||
| City | SEBASTOPOL |
| Zip Code | 39359 |
Please comment or provide details below to improve the information on KAYTI A POWELL.
| 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.