KATHERINE ROSS FLYNN (NPI# 1639654171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639654171 |
Entity Type | Individual |
Full Name | KATHERINE ROSS FLYNN |
Credential | PMHNP-BC |
Practice Address |
439 N Jackson St Brookhaven MS 39601-2952 |
Mailing Address |
427 Highway 51 N Brookhaven MS 39601-2350 |
Practice Telephone | 6018359499 |
Mailing Telephone | 6018336011 |
Enumeration Date | 2018-10-01 |
Last Update Date | 2018-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
902967 | MS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376720359 | Katherine M Flynn | Psychologist | 12225 71st St, Kenosha, WI 53142-7320 | 2008-01-22 |
1700958295 | Katherine Jane Flynn | Counselor | 5009 Excelsior Blvd Ste 134, St Louis Park, MN 55416-3049 | 2006-11-14 |
1588155378 | Katherine Elizabeth Flynn | Social Worker | 15 Parkman St, Boston, MA 02114-3117 | 2018-05-29 |
1265977953 | Katherine Leigh Wagenman Flynn | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045 | 2017-01-04 |
1396133799 | Katherine Flynn | Physician Assistant | 601 N Caroline St, Baltimore, MD 21287-0006 | 2015-01-07 |
1427460989 | Katherine Flynn | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2014-06-02 |
1134461130 | Katherine M Flynn | Behavioral Analyst | 1200 W South Boulder Rd, 203, Lafayette, CO 80026-3546 | 2013-03-18 |
1326360470 | Katherine M Flynn | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2010-02-17 |
1982839163 | Katherine E Flynn | Counselor | 20 York St, New Haven, CT 06510-3220 | 2009-05-18 |
1396794715 | Katherine S Flynn | Optometrist | 43309 Us Highway 19 N, Tarpon Springs, FL 34689-6221 | 2006-05-10 |
Street Address |
439 N JACKSON ST |
City | BROOKHAVEN |
State | MS |
Zip Code | 39601-2952 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295849354 | Donna Louise Foster | Dentist | 439 N Jackson St, Suite F, Brookhaven, MS 39601-2952 | 2006-08-18 |
1356519227 | James E Roberts Md Pa | Specialist | 439 N Jackson St, Suite D, Brookhaven, MS 39601-2952 | 2008-02-13 |
1124137062 | Doctors Urgent Care, LLC | Family Medicine | 439 N Jackson St, Suite A, Brookhaven, MS 39601-2952 | 2006-08-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
Find all providers in zip 39601 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
1184174450 | Robyn Tenenbaum | Nurse Practitioner | 3047 Parkridge Dr Ne, Brookhaven, GA 30319-2933 | 2016-10-10 |
1396106456 | David Anthony Smith | Nurse Practitioner | 620 Highway 51 N, Brookhaven, MS 39601-2337 | 2016-03-16 |
1124674999 | Allison Gilley | Nurse Practitioner | 2801 Buford Hwy Ne Ste 100, Brookhaven, GA 30329-2146 | 2019-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
1457998965 | Katie Mae Spann | Nurse Practitioner | 1510 Hawthorne Pl, Clinton, MS 39056-3911 | 2019-12-03 |
Find all providers with the same taxonomy |
City | BROOKHAVEN |
Zip Code | 39601 |
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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.