Individual provider Active NPI

Hanna Byrd, CFNP

  • Family Nurse Practitioner
  • Booneville, MS
National Provider Identifier
1154039840
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905674 Issued in MS
Practice address
109 North Rd
Booneville, MS 38829-7615
Phone
(662) 728-2914
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905674 MS Primary

Addresses

Primary practice location

109 North Rd
Booneville, MS 38829-7615

Mailing address

43 County Road 1250
Booneville, MS 38829-8661
Phone (662) 416-6215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221229001754 MS Practitioner - Nurse Practitioner 8628448032 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Magnolia Regional Health Center CurrentSince Jan 25, 2026 Accepting new patients
Magnolia Regional Health Center CurrentSince Jan 25, 2026 Accepting new patients
Family First Medical Clinic, LLC Family CurrentSince Nov 9, 2022 Accepting new patients
Magnolia Women'S Center Past Accepting new patients
Magnolia Urgent Care Past Accepting new patients

Locations

109 North Rd
Booneville, MS 38829
Phone (662) 416-2282

3704 Highway 72 W
Corinth, MS 38834
Phone (662) 286-1499

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1154039840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 COUNTY ROAD 1250",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388298661",
            "telephone_number": "662-416-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 NORTH RD",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388297615",
            "telephone_number": "662-728-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "HANNA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.