Individual provider Active NPI

Hannah Parks Christian, APN

  • Adult Health Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1174177612
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
904173 Issued in MS
Practice address
703 Alcorn Drive
Corinth, MS 38834
Phone
(662) 293-1000
NPI assigned
Aug 1, 2019
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 904173 MS Primary
Registered Nurse 163W00000X 906553 MS

Addresses

Primary practice location

703 Alcorn Drive
Corinth, MS 38834

Mailing address

150 County Road 632
Corinth, MS 38834
Phone (662) 255-5050

Other practice location 1

150A County Road 632
Corinth, MS 38834
Phone (662) 255-5050

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL impravadacortex Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210602002624 MS Practitioner - Nurse Practitioner 4284033796 Reassigns benefits to 1 organization
I20221228002469 TN Practitioner - Nurse Practitioner 4284033796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Segue Health of Mississippi LLCGroup PAC ID 2769757897, 23 clinicians
Segue Health Partners LLCGroup PAC ID 5496020521, 29 clinicians

Practice addresses (Care Compare)

232 Market St
Flowood, MS 39232-3339
Phone 8885512538101

765 Woodland Trace LN
Cordova, TN 38018-6609
Phone (901) 626-3515

Merit-based Incentive Payment System (MIPS)

Final score
22.8 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
76.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
906553MSMDRegistered Nurse
904173MSMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Segue Health Partners LLC CurrentSince Nov 21, 2022 Accepting new patients
Segue Health of Mississippi LLC CurrentSince May 11, 2021 Accepting new patients

Locations

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1174177612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 COUNTY ROAD 632",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-255-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 ALCORN DRIVE",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "38834",
            "telephone_number": "662-293-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150A County Road 632",
            "address_purpose": "LOCATION",
            "city": "Corinth",
            "state": "MS",
            "postal_code": "38834",
            "country_code": "US",
            "telephone_number": "662-255-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "HANNAH",
        "middle_name": "PARKS",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "904173",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "906553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "impravadacortex",
            "affiliation": "N",
            "endpointDescription": "messaging app",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "703 alcorn drive suit 109",
            "city": "corinth",
            "state": "MS",
            "country_code": "US",
            "postal_code": "38834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

Verify at the official NPI Registry.