LEKENYA MIRIAM NUTTALL FNP-C
NPI 1710536636
Nurse Practitioner - Family in Tutwiler, MS
About Lekenya Miriam Nuttall Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEKENYA MIRIAM NUTTALL FNP-C (NPI 1710536636) is an individual family provider in Tutwiler, Mississippi, licensed in Mississippi (903390) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lekenya Miriam Nuttall Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38963 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lekenya Nuttall's NPI number?
The NPI number for Lekenya Nuttall is 1710536636. It was assigned to this individual provider in the NPPES registry on September 4, 2019.
Where is Lekenya Nuttall located?
Lekenya Nuttall practices at 415 Us Highway 49 N, Tutwiler, MS 38963. The listed phone number is (662) 345-6567.
What is Lekenya Nuttall's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lekenya Nuttall enrolled in Medicare?
Yes. Lekenya Nuttall is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Lekenya Nuttall was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lekenya Miriam Nuttall, FNP-C · NPI 1710536636
Family physician in Tutwiler, Mississippi. Individual provider, active in the CMS NPPES registry since September 4, 2019.
## Identity
- **NPI:** 1710536636 (Entity type: Individual)
- **Enumerated:** September 4, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903390 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 415 US HIGHWAY 49 N, Tutwiler, MS 38963-5091
- **Phone:** (662) 345-6567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 4, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1710536636) · Data from the CMS NPPES public registry.