Active NPI
Teresa Jeanne Hamill, NURSE PRACTITIONER
- Family Nurse Practitioner
- Columbus, MS
National Provider Identifier
1487766978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R654302
- Practice address
- 1100 College St
Muw-330
Columbus, MS 39701-5800 - Phone
- (662) 329-7289
- Fax
- (662) 241-7486
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R654302 | MS | Primary |
Addresses
Primary practice location
1100 College St
Muw-330
Columbus, MS 39701-5800
Mailing address
305 White Dr
Starkville, MS 39759-2638
Phone (662) 324-7941
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R654302 | MS | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1487766978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 WHITE DR",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397592638",
"telephone_number": "662-324-7941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 COLLEGE ST",
"address_2": "MUW-330",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397015800",
"telephone_number": "662-329-7289",
"fax_number": "662-241-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILL",
"first_name": "TERESA",
"middle_name": "JEANNE",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R654302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.