Active NPI
Patricia Hancock
- Registered Dietitian
- Ocean Springs, MS
National Provider Identifier
1508279233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- D1497
- Practice address
- 1124 Oakleigh Rd
Ocean Springs, MS 39564-5716 - Phone
- (228) 875-3778
- NPI assigned
- Jun 10, 2014
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | D1497 | MS | Primary |
Addresses
Primary practice location
1124 Oakleigh Rd
Ocean Springs, MS 39564-5716
Mailing address
2525 Telephone Rd
Pascagoula, MS 39567-3202
Phone (228) 762-4483
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1497 | Other | MS LICENSE NUMBER |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1508279233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 TELEPHONE RD",
"city": "PASCAGOULA",
"state": "MS",
"postal_code": "395673202",
"telephone_number": "228-762-4483",
"fax_number": "228-769-0406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 OAKLEIGH RD",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "395645716",
"telephone_number": "228-875-3778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MS",
"license": "D1497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS LICENSE NUMBER",
"identifier": "D1497",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ocean Springs, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.