Individual provider Active NPI

Amy Nicole Hardwick

  • Diabetes Educator Registered Nurse
  • Savannah, GA
National Provider Identifier
1235899592
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
220709 Issued in SC
Practice address
5356 Reynolds St Ste 120
Savannah, GA 31405-6088
Phone
(912) 819-3146
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 220709 SC Primary

Addresses

Primary practice location

5356 Reynolds St Ste 120
Savannah, GA 31405-6088

Mailing address

5356 Reynolds St Ste 120
Savannah, GA 31405-6088
Phone (912) 819-3146

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hardwicka@sjchs.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
220709SCMDDiabetes Educator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Candler Hospital Incorporated PastSince Jan 2, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1235899592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST STE 120",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056088",
            "telephone_number": "912-819-3146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 REYNOLDS ST STE 120",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056088",
            "telephone_number": "912-819-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "AMY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "SC",
            "license": "220709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hardwicka@sjchs.org",
            "affiliation": "N",
            "address_1": "5356 Reynolds St Ste 120",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314056088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.