Active NPI
Mary Angela Hardin, APRN, DNP, FNP-C
- Family Nurse Practitioner
- Germantown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F08170555
- Practice address
- 1400 S Germantown Rd
Germantown, TN 38138-2205 - Phone
- (901) 759-3100
- Fax
- (901) 759-3196
- NPI assigned
- Aug 16, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F08170555 | TN | Primary |
| Registered Nurse | 163W00000X | 70215 | TN |
Addresses
Primary practice location
1400 S Germantown Rd
Germantown, TN 38138-2205
Mailing address
1400 S Germantown Rd
Germantown, TN 38138-2205
Phone (901) 759-3100
Other practice location 1
8000 Centerview Pkwy Ste 500
Cordova, TN 38018-4254
Phone (901) 759-3100
Other practice location 2
1211 Union Ave Ste 500
Memphis, TN 38104-6656
Phone (901) 759-3100
Other practice location 3
7545 Airways Blvd
Southaven, MS 38671-5806
Phone (901) 759-3100
Other practice location 4
1458 W Poplar Ave Ste 100
Collierville, TN 38017-0630
Phone (901) 759-3100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70215 | TN | MD | Pediatrics Physician |
| F08170555 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| CC Bpci PLC | Past | Accepting new patients |
Locations
300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- mghardin@cco1043.srs-direct.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1003835141
-
- Orthopaedic Surgery Physician
- Germantown, TN
- NPI 1881387330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1487170924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-759-3100",
"fax_number": "901-759-3196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S GERMANTOWN RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382205",
"telephone_number": "901-759-3100",
"fax_number": "901-759-3196"
}
],
"practiceLocations": [
{
"address_1": "8000 Centerview Pkwy Ste 500",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380184254",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1211 Union Ave Ste 500",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381046656",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7545 Airways Blvd",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386715806",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1458 W Poplar Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Collierville",
"state": "TN",
"postal_code": "380170630",
"country_code": "US",
"telephone_number": "901-759-3100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDIN",
"first_name": "MARY",
"middle_name": "ANGELA",
"credential": "APRN, DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "F08170555",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "70215",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.