KATELYN LEE CONNER (NPI# 1760902712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760902712 |
| Entity Type | Individual |
| Full Name | KATELYN LEE CONNER |
| Credential | PMHNP-BC |
| Practice Address |
6880 Cobblestone Blvd Ste 2 Southaven MS 38672 |
| Mailing Address |
6880 Cobblestone Blvd Ste 2 Southaven MS 38672-9313 |
| Practice Telephone | 6625108606 |
| Mailing Telephone | 6625108606 |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2019-08-21 |
| 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 |
902117 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8130 Country Village Dr Ste 102, Cordova, TN 380162087 | 9013082915 | 9013082924 |
| Street Address |
6880 COBBLESTONE BLVD STE 2 |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497123343 | Erin Harrell | Psychiatry & Neurology | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 | 2015-09-09 |
| 1578913885 | In Focus Psychiatry LLC | Nurse Practitioner | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 | 2016-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100826 | Sarah Kathryn Pratt | Physical Therapist | 5271 Getwell Road, Suite A, Southaven, MS 38672 | 2020-09-24 |
| 1356713606 | Deadra Dennis | Behavioral Analyst | 2816 Calico Rock Cv, Southaven, MS 38672 | 2015-10-27 |
| 1568727352 | Patricia Leanne Lewis | Family Medicine | 5908 Getwell Rd, Southaven, MS 38672 | 2012-07-09 |
| 1417183922 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2945 Goodman Road East, Southaven, MS 38672 | 2009-06-10 |
| 1568609998 | Susan Orsland | Physical Therapist | 4355 Genevieve Drive, Southaven, MS 38672 | 2009-01-07 |
| 1659516524 | Stacy L Sanders | Audiologist | 5740 Getwell Rd. Building 3 Unit B, Southaven, MS 38672 | 2008-12-08 |
| 1295927226 | Tracey F Petrides | Family Medicine | 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672 | 2007-08-14 |
| 1538288741 | Bruce A Denney | Dentist | 7125 Getwell Road, Suite 102, Southaven, MS 38672 | 2007-03-28 |
| 1154480150 | Kimberly Marie Metcalf | Social Worker | 7165-g Getwell Rd., Southaven, MS 38672 | 2006-12-06 |
| 1346318441 | Deborah Verucchi | Nurse Practitioner | 5740 Getwell Rd Ste B, Southaven, MS 38672 | 2006-11-30 |
| Find all providers in zip 38672 | ||||
| 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 |
|---|---|---|---|---|
| 1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
| 1235619206 | Tracy Ellis Burns | Nurse Practitioner | 5699 Getwell Rd Bldg H1, Southaven, MS 38672-7311 | 2018-08-18 |
| 1225646110 | Tabitha Flowers Arrington | Nurse Practitioner | 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 | 2020-07-17 |
| 1851916837 | Amanda Folsom | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-06-15 |
| 1164083747 | Jennifer Gail Ross | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2019-06-25 |
| 1063976983 | Collietta Bassett | Nurse Practitioner | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2019-01-24 |
| 1649753161 | Tanisha Martin | Nurse Practitioner | 8626 Airways Blvd, Southaven, MS 38671-2603 | 2018-09-11 |
| 1578913885 | In Focus Psychiatry LLC | Nurse Practitioner | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 | 2016-06-16 |
| 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 |
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 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 |
| 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 | ||||
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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.