| Mrs Kakecha Tiwana Taylor, FNP | |
|
3212 Highway 51 S Ste A, Hernando, MS 38632-2725 | |
| (662) 429-9814 | |
| Not Available |
| Full Name | Mrs Kakecha Tiwana Taylor |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 3212 Highway 51 S Ste A, Hernando, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447478342 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 29839 (Tennessee) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 904746 (Mississippi) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ms State Dept Of Health | 0244129245 | 21 |
| Goode Provider | 1355694779 | 2 |
| Entity Name | Ms State Dept Of Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053489260 PECOS PAC ID: 0244129245 Enrollment ID: O20040315000937 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Entity Name | Signify Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210323002802 |
| Entity Name | Goode Provider |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225527989 PECOS PAC ID: 1355694779 Enrollment ID: O20210630001273 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kakecha Tiwana Taylor, FNP 5504 Deer Trail Cv, Southaven, MS 38672-9307 Ph: (662) 832-1878 | Mrs Kakecha Tiwana Taylor, FNP 3212 Highway 51 S Ste A, Hernando, MS 38632-2725 Ph: (662) 429-9814 |
Mrs. Aquarius Taylor-ross, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1250 E Commerce St, Hernando, MS 38632 Phone: 662-298-2238 | |
Collietta C Bassett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2555 Caffey St, Hernando, MS 38632 Phone: 901-351-0962 | |
Mrs. Cynthia H. Nichols, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 124 W Commerce St, Hernando, MS 38632 Phone: 662-429-5221 Fax: 662-429-7917 | |
Ms. Alison Denise Perryman, MSN, RN, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 220 Oak Tree Dr, Hernando, MS 38632 Phone: 662-510-8606 Fax: 844-397-3305 | |
Lora Michelle Smith, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2416 Mount Pleasant Rd, Hernando, MS 38632 Phone: 662-298-3181 Fax: 662-269-4704 | |
Mr. Ethan Tyler Smitherman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 324 W Valley St Ste 108, Hernando, MS 38632 Phone: 901-491-0130 | |
Lauren Michelle Person, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2416 Mount Pleasant Rd, Hernando, MS 38632 Phone: 662-560-5960 Fax: 662-560-5969 |