Individual provider Active NPI

Harriet Carleen Hint, CPNP

  • Pediatric Nurse Practitioner
  • Tyrone, GA
National Provider Identifier
1326315680
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN090519 Issued in GA
Practice address
105 Greencastle Rd Ste a
Tyrone, GA 30290-2945
Phone
(770) 631-1040
Fax
(770) 631-1019
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X RN090519 GA Primary

Addresses

Primary practice location

105 Greencastle Rd Ste a
Tyrone, GA 30290-2945

Mailing address

105 Greencastle Rd Ste a
Tyrone, GA 30290-2945
Phone (770) 631-1040

Other identifiers 1

IdentifierTypeStateIssuer
G45045MedicaidGA

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
Credentials
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN090519GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint, PC Past Accepting new patients
Healthpoint PC Past Accepting new patients

Organizations & group practices 2

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1326315680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREENCASTLE RD STE A",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902945",
            "telephone_number": "770-631-1040",
            "fax_number": "770-631-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREENCASTLE RD STE A",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902945",
            "telephone_number": "770-631-1040",
            "fax_number": "770-631-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINT",
        "first_name": "HARRIET",
        "middle_name": "CARLEEN",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN090519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G45045",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; 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.