Individual provider Active NPI

Wanda Newby Hill, DNP FNP, FPMHNP-BC

  • Family Nurse Practitioner
  • Corinth, MS
National Provider Identifier
1316928708
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R850602 Issued in MS
Practice address
611 Alcorn Drive
Crossroads Center
Corinth, MS 38834-9321
Phone
(662) 293-4280
Fax
(662) 293-4282
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R850602 MS Primary

Addresses

Primary practice location

611 Alcorn Drive
Crossroads Center
Corinth, MS 38834-9321

Mailing address

72A County Road 421
Tishomingo, MS 38873-8728
Phone (662) 438-7226

Other identifiers 1

IdentifierTypeStateIssuer
05083051MedicaidMS

Other names 1

  • Wanda J. Hill Former name

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

LicenseStateTypeSpecialty
R850602MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mohave Mental Health Clinic Inc Past Accepting new patients
Maxie Gordon MD & Associates, PLLC Past Accepting new patients
Mohave Mental Health Clinic Inc Past Accepting new patients
Clear Choice Dermatology PastSince Sep 1, 2021 Accepting new patients
Horizon Mental Health Management, Inc Past Accepting new patients
Integrity Health Services, LLC Past Accepting new patients

Organizations & group practices 6

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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1316928708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72A COUNTY ROAD 421",
            "city": "TISHOMINGO",
            "state": "MS",
            "postal_code": "388738728",
            "telephone_number": "662-438-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 ALCORN DRIVE",
            "address_2": "CROSSROADS CENTER",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388349321",
            "telephone_number": "662-293-4280",
            "fax_number": "662-293-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "WANDA",
        "middle_name": "NEWBY",
        "name_prefix": "Ms.",
        "credential": "DNP FNP, FPMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R850602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05083051",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WANDA",
            "last_name": "HILL",
            "middle_name": "J.",
            "credential": "RN, NP, FNP, FPMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; 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.