Stephanie Leah Hall, RN, CCRN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

903626 Issued in MS

Practice address

400 Veterans Ave
Biloxi, MS 39531-2410

Phone

(662) 523-5000

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Stephanie Leah Petroskey Hall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1477176642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 MOSSY OAK DR E",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395648807",
            "telephone_number": "662-660-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VETERANS AVE",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395312410",
            "telephone_number": "662-523-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "STEPHANIE",
        "middle_name": "LEAH",
        "credential": "RN, CCRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MS",
            "license": "MS-903626",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "TN",
            "license": "024917",
            "primary": false
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiography",
            "state": "TN",
            "license": "363070",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TN",
            "license": "S-82650",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "903626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "PETROSKEY HALL",
            "middle_name": "LEAH",
            "credential": "RT(R), PET, CNMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Haist
• Barbara Ayn Hakanson, CTRS
• Charles Terry Hall, DDS
• Felisa Jeannette Hall, MSN, APRN, FNP-C
• Karen Lee Hall, BS, MA, RN, FNP-BC
• Elisabeth Jones Haller, MD
• Dennis Keith Halsey, MAC
• Jakob Ham
• Larry Hammonds, RNFA / CNOR
• Karen Joan Hampton, LPC

• Registered Nurse in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.