Individual provider Active NPI

Ansley Tollison Vanlandingham, FNP-C (MSN, BSN)

  • Nurse Practitioner
  • Greenville, MS
National Provider Identifier
1174879720
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R884042 Issued in MS
Practice address
1699 S Colorado St
Greenville, MS 38703-7211
Phone
(662) 390-8992
Fax
(662) 335-7933
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R884042 MS Primary

Addresses

Primary practice location

1699 S Colorado St
Greenville, MS 38703-7211

Mailing address

1699 S Colorado St
Greenville, MS 38703-7211
Phone (662) 390-8992

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
I20121106000359 MS Practitioner - Nurse Practitioner 5991956617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Consultants of North Mississippi PLLCGroup PAC ID 8426136961, 10 clinicians

Practice addresses (Care Compare)

497 Azalea Dr
Suite 101
Oxford, MS 38655-7907
Phone (662) 234-1337

810 E Sunflower Rd
100A
Cleveland, MS 38732-2828
Phone (662) 234-1337

Merit-based Incentive Payment System (MIPS)

Final score
89.98 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose & Throat Consultants of North Mississippi PLLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

497 Azalea Dr
Ste 101
Oxford, MS 38655
Phone (662) 234-1337

Organizations & group practices 1

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": "1343779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1174879720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1699 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037211",
            "telephone_number": "662-390-8992",
            "fax_number": "662-335-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1699 S COLORADO ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387037211",
            "telephone_number": "662-390-8992",
            "fax_number": "662-335-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANLANDINGHAM",
        "first_name": "ANSLEY",
        "middle_name": "TOLLISON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C (MSN, BSN)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R884042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MS

Sources for this page

Verify at the official NPI Registry.