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Audrey Mcdaniel

Licensed Practical Nurse • Tupelo, MS

Active NPI 1447899588 Individual Practitioner Female Practitioner
Practice location in NPPES

2434 S Eason Blvd
Tupelo, MS 388046942

Call 6626404595 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2434 S Eason Blvd

Tupelo, MS 388046942

Telephone 6626404595
Fax 6626806416
Organization at the Same NPPES Address or Phone
Northeast Mental Health/mental Retardation Commission Facility NPI 1801828496

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Tupelo and Mississippi

30 active clinicians are listed under Licensed Practical Nurse with a practice address in Tupelo, MS (255 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Tupelo

0% of these 30 clinicians have the CMS telehealth indicator.

0% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-01-06
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES MS 327651

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
00018203 (MS)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Sondra Bennett , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1275970725

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Dr. Ross Collins , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1508893074

Doctor of Medicine (M.D.)

Katherine Ederer , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1790138873

Psychiatric-Mental Health Nurse Practitioner

Brandon Holley , MSPAS, PA-C

Physician Assistant

NPI 1770962698

MSPAS, Physician Assistant (Certified)

NPI 1306853932

Licensed Clinical Social Worker

Stephanie Sweda Montgomery , LPC

Counselor - Professional

NPI 1336802735

Licensed Professional Counselor

Career & Practice History

NPI enumerated January 06, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2020 to August 2026.

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NPI Administrative Meta

NPI Number: 1447899588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 06, 2020
Last Update: January 06, 2020
Sole Proprietor: No

Mailing Address

2434 S Eason Blvd

Tupelo, MS 388046942

Phone: 6626404595

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.