Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Michele Tate, RN

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922614171

Kathleen Michele Tate, RN is a Nurse Practitioner in Flowood, Mississippi. Qualified in 2020, 6 years ago. Practices with St Dominic Medical Associates LLC, a 127-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Flowood, MS

Additional practice locations (1)

  • 971 Lakeland Dr Ste 250, Jackson, MS 39216-4620 — (601) 200-5550

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 904614 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922614171
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedSeptember 22, 2020
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St. Dominic Medical Associates Llc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Flowood