MRS. KRISTEN LEIGH ELLZEY (NPI# 1548885759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548885759 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN LEIGH ELLZEY |
| Credential | NP-C |
| Practice Address |
27 S Sixth St Bay Springs MS 39422-9052 |
| Mailing Address |
507 Scr 152 Mount Olive MS 39119-4968 |
| Practice Telephone | 6017642155 |
| Practice Fax Number | 6017642150 |
| Mailing Telephone | 6013230797 |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903962 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
27 S SIXTH ST |
| City | BAY SPRINGS |
| State | MS |
| Zip Code | 39422-9052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144338369 | A Keith Lay Jr. | Family Medicine | 27 S Sixth St, Bay Springs, MS 39422-9052 | 2006-08-28 |
| 1245870823 | Jasper General Hospital | Family Medicine | 27 S Sixth St, Bay Springs, MS 39422-9052 | 2020-01-10 |
| 1700977675 | Alison L Holder | Family Medicine | 27 S Sixth St, Bay Springs, MS 39422-9052 | 2006-09-27 |
| 1518075720 | A Keith Lay Jr Md | Family Medicine | 27 S Sixth St, Bay Springs, MS 39422-9052 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952873994 | Family Health Care Clinic, Inc | Clinic/Center | 298 Hwy 18 West, Bay Springs, MS 39422 | 2018-12-31 |
| 1578019808 | Rebecca Little | Nurse Practitioner | 27 S. 6th Street, Bay Springs, MS 39422 | 2016-08-28 |
| 1689930372 | Region Ten Commission On Mental Health | Clinic/Center | 9 North Second Street, Bay Springs, MS 39422 | 2012-04-06 |
| 1760790778 | Bay Springs Eye Care LLC | Optometrist | 16 South 6th Street, Bay Springs, MS 39422 | 2010-09-24 |
| 1174787915 | Tracy Lee Williams | Dentist | 12 South 6th Street, Bay Springs, MS 39422 | 2008-07-10 |
| 1316137052 | Bethany Ann South | Optometrist | 16 South 16th St, Bay Springs, MS 39422 | 2007-07-30 |
| 1972717858 | Dr. Benjamin J. Hodges and Associates, P.a. | Dentist | 2683 Hwy. 15, 2683 Hwy. 15, Bay Springs, MS 39422 | 2007-05-09 |
| 1003983420 | Paul Alan Little | Chiropractor | 13 East 8th Avenue, Bay Springs, MS 39422 | 2006-11-29 |
| 1194825513 | Mary E Clawson | Internal Medicine | Family Medical Clinic, 20 South 6th Street, Bay Springs, MS 39422 | 2006-09-25 |
| 1023118817 | Jasper General Hospital | Durable Medical Equipment & Medical Supplies | 15 A South 6th Street, Bay Springs, MS 39422 | 2006-09-22 |
| Find all providers in zip 39422 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578019808 | Rebecca Little | Nurse Practitioner | 27 S. 6th Street, Bay Springs, MS 39422 | 2016-08-28 |
| 1467778423 | Leanne Terrell Bynum | Nurse Practitioner | 27 S Sixth St # A, Bay Springs, MS 39422-9052 | 2010-04-15 |
| 1386033298 | Amber Miles | Nurse Practitioner | 20 S Sixth St, Bay Springs, MS 39422-9055 | 2015-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205423 | Ronequa Evans | Nurse Practitioner | 811 Clubhouse Dr, Pearl, MS 39208-7023 | 2020-11-02 |
| 1659971380 | Lucy M Barnes | Nurse Practitioner | 2401 State Blvd, Meridian, MS 39307-5033 | 2020-10-30 |
| 1952901076 | Angela Holloway | Nurse Practitioner | 1316 County Road 94, New Albany, MS 38652-8556 | 2020-10-28 |
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1285233452 | Darlene Johnson | Nurse Practitioner | 2808 Allyson Gene Cv, Byhalia, MS 38611-7359 | 2020-10-20 |
| 1447857073 | Clarissa Nicole Yarborough | Nurse Practitioner | 113 Saint John Rd, Tylertown, MS 39667-7927 | 2020-10-06 |
| 1922615616 | Jack Chandler Papa | Nurse Practitioner | 3556 May Brook Cv, Southaven, MS 38672-1006 | 2020-09-26 |
| 1205443165 | Mallory Stockstill | Nurse Practitioner | 27 Tillery Pl, Ellisville, MS 39437-4784 | 2020-09-24 |
| 1184230898 | Evelyn Michelle Rainey | Nurse Practitioner | 271 Eskridge Road, Duck Hill, MS 38925 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | BAY SPRINGS |
| Zip Code | 39422 |
Please comment or provide details below to improve the information on MRS. KRISTEN LEIGH ELLZEY.
| 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.