Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Kimberlie La'Tasha Mabry, FNP-C

Individual provider Nurse Practitioner · NPI 1891422853

Mrs. Kimberlie La'Tasha Mabry, FNP-C is a Nurse Practitioner in Gautier, Mississippi. Qualified in 2021, 5 years ago. Practices with Calcasieu Urgent Care LLC, a 135-clinician group and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
5
Licensed in
LA, MS
In the registry since
2022
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1509 Willowbend Dr
Gautier, MS 39553-7627
Phone: (228) 627-1223
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 905478 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 905478 (MS)
Nurse Practitioner Taxonomy 363L00000X · Licence 227359 (LA)

Record details

NPI number1891422853
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedAugust 1, 2022
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Calcasieu Urgent Care Llc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients13
Services billed 66 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Calcasieu Urgent Care LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 135 clinicians in the practice; 12 are shown here.

Other providers in Gautier