Provider Demographics
NPI:1285058917
Name:BUYS, KATIE (CRNP)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:BUYS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-3209
Mailing Address - Country:US
Mailing Address - Phone:662-323-5588
Mailing Address - Fax:662-323-5552
Practice Address - Street 1:205 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-3209
Practice Address - Country:US
Practice Address - Phone:662-323-5588
Practice Address - Fax:662-323-5552
Is Sole Proprietor?:No
Enumeration Date:2014-02-17
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3-000450363LP0808X, 363LF0000X, 363LP0808X
MS904793363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily