Active NPI
Lorraine Gaddis, CFNP
- Nurse Practitioner
- Madison, MS
National Provider Identifier
1205896842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R741224
- Practice address
- 127 Grandview Dr
Madison, MS 39110-7595 - Phone
- (601) 853-0203
- NPI assigned
- Mar 27, 2006
- Last updated
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R741224 | AL | Primary |
Addresses
Primary practice location
127 Grandview Dr
Madison, MS 39110-7595
Mailing address
PO Box 23666
Jackson, MS 39225-3666
Phone (601) 200-4749
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03282005 | Medicaid | MS |
Other names 1
- Mrs. Lorraine Hamm
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R741224 | AL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Nursing Associates PLLC | Past | Accepting new patients |
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.
-
dba Unacare Health Center
- Clinic/Center
- Jackson, MS
- NPI 1104885755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1205896842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23666",
"city": "JACKSON",
"state": "MS",
"postal_code": "392253666",
"telephone_number": "601-200-4749",
"fax_number": "601-200-5929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 GRANDVIEW DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391107595",
"telephone_number": "601-853-0203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDIS",
"first_name": "LORRAINE",
"name_prefix": "Ms.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-27",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "R741224",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03282005",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORRAINE",
"last_name": "HAMM",
"prefix": "MRS.",
"credential": "CFNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.