Holli Anne Sanders, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R770552 Issued in MS

Practice address

4381 South Eason Blvd.
Suite 102B
Tupelo, MS 38801-6586

Phone

(662) 377-6610

Fax

(662) 377-6614

NPI assigned

Jan 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Mississippi Medical Center, Inc.Group PAC ID 9931010600, 361 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hollisanders@nmhs.medalliesdirect.net

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.

• North Mississippi Medical Center Inc

  dba Behavioral Health Center

  • Psychologist
  • Tupelo, MS
  • NPI 1972608347
  Medicare reassignment Care Compare group NPD
• North Mississippi Medcial Center, Inc.

  dba Radiology Consultants

  • Diagnostic Radiology Physician
  • Tupelo, MS
  • NPI 1902762487
  NPD
• North Mississippi Medical Center, Inc

  dba North Mississippi Regional Pain Consultants

  • Nurse Practitioner
  • Tupelo, MS
  • NPI 1497091730
  NPD
• Amory Surgery Clinic, PLLC

  dba Amory Surgery Clinic

  • Surgery Physician
  • Amory, MS
  • NPI 1821441080
  NPD (past)
• North Mississippi Medical Center

  dba Family Medicine Residency Center

  • Family Medicine Physician
  • Tupelo, MS
  • NPI 1285745885
  NPD (past)
• North Mississippi Medical Center

  dba Physical Medicine Rehab

  • Physical Medicine & Rehabilitation Physician
  • Tupelo, MS
  • NPI 1710081369
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1225008576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4018",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388014018",
            "telephone_number": "662-377-4685",
            "fax_number": "662-377-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 SOUTH EASON BLVD.",
            "address_2": "SUITE 102B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388016586",
            "telephone_number": "662-377-6610",
            "fax_number": "662-377-6614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "HOLLI",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R770552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02930813",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bobbi Sanders
• Broderick Sanders
• Collin Sanders, PT, DPT
• Curren Sanders, M.D.
• Danny Louis Sanders, MD
• Jessica E. Sanders, PCMHCT
• Lana Michelle Sanders
• Lisa Paige Sanders, DNP/FNP
• Malarie Sanderson
• Tanya Sanderson, NP

• Nurse Practitioner in Tupelo, MS
• Providers in Tupelo, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.