Individual provider Active NPI

Lana Hamilton, MT

  • Medical Technologist
  • Jonesboro, AR
National Provider Identifier
1023410735
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical TechnologistTaxonomy code 246QM0706X
License
TN38517 Issued in FL
Practice address
2641 Clayburne Dr
Jonesboro, AR 72401-8160
Phone
(870) 761-7544
NPI assigned
Sep 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Technologist 246QM0706X TN38517 FL Primary
Medical Technologist 246QM0706X 4363 HI
Medical Technologist 246QM0706X CLP.201833-GEN LA
Medical Technologist 246QM0706X 1386CLS MT
Medical Technologist 246QM0706X 1539TCL-4 NV
Medical Technologist 246QM0706X 05-437982-I ND
Medical Technologist 246QM0706X 21388 TN

Addresses

Primary practice location

2641 Clayburne Dr
Jonesboro, AR 72401-8160

Mailing address

2641 Clayburne Dr
Jonesboro, AR 72401-8160
Phone (870) 761-7544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
TN38517FLMDMedical Technologist
CLP.201833-GENLAMDMedical Technologist
1386CLSMTMDMedical Technologist
05-437982-INDMDMedical Technologist
1539TCL-4NVMDMedical Technologist
4363HIMDFamily Nurse Practitioner

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1023410735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 CLAYBURNE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018160",
            "telephone_number": "870-761-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 CLAYBURNE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018160",
            "telephone_number": "870-761-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "LANA",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "FL",
            "license": "TN38517",
            "primary": true
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "HI",
            "license": "4363",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "LA",
            "license": "CLP.201833-GEN",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "MT",
            "license": "1386CLS",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "NV",
            "license": "1539TCL-4",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "ND",
            "license": "05-437982-I",
            "primary": false
        },
        {
            "code": "246QM0706X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Pathology, Medical Technologist",
            "state": "TN",
            "license": "21388",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.