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Kimberly Gwen Mettetal, C.F.N.P. CPMHNP

Psychiatric/Mental Health Nurse Practitioner in Southaven, MS · enumerated 2007 · practices at Desoto Family Counseling Center Pllc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194911453

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Registry record

Entity type Individual (Type 1)
Name Kimberly Gwen Mettetal
Credential C.F.N.P. CPMHNP
Sex Female
Practice address 8626 Airways Blvd, Southaven, MS, 38671
Phone (662) 772-5937
Fax (662) 772-5940
Enumeration date Sep 20, 2007
Last updated in NPPES Jul 14, 2025

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R850409 (MS) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2018026553 (MO) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP60842248 (WA) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 8391-33 (WI) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 2018 (OR) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 5816 (MN) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License AP136974 (TX) Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License R850409 (MS) Primary

Other identifiers

Identifier Type State Issuer
06787540 Medicaid MS -
382605901 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kimberly Mettetal practice?
The practice location on file with NPPES is in Southaven, MS. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kimberly Mettetal?
The National Provider Identifier (NPI) for Kimberly Mettetal is 1194911453, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-14.