Amy M Hazlewood, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R874448 Issued in MS

Practice address

218 E Main St
Florence, MS 39073-8407

Phone

(601) 845-6602

NPI assigned

Nov 13, 2011

Last updated

Apr 10, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Martin Health Care, LLC

  • Family Medicine Physician
  • Florence, MS
  • NPI 1669652558
  NPD (past)

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

{
    "created_epoch": "1321142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334016000000",
    "number": "1386921757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390730530",
            "telephone_number": "601-845-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E MAIN ST",
            "city": "FLORENCE",
            "state": "MS",
            "postal_code": "390738407",
            "telephone_number": "601-845-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAZLEWOOD",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-13",
        "last_updated": "2012-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R874448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05477720",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margo Wilson Garrett, NP-C
• Fredna Leigh Georgen, MAPC, LPC
• Golden Hearts Home Health LLC (Golden Hearts Personal Care Agency)
• Desmond Hall
• Hands to Healing,LLC (Family First Healthcare)
• Helping Hands Homemaker Agency,Inc.
• Helping Handz Transit
• Brian Matthew Hendley, PT
• Pamela Ann Hervey
• Wendy Louise Heuer

• Family Nurse Practitioner in Florence, MS
• Providers in Florence, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.