Individual provider Active NPI

Adrienne Dianne Hogue Kirby, WHNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Gulfport, MS
National Provider Identifier
1629650452
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
905986 Issued in MS
Practice address
14231 Seaway Rd Ste 3004
Gulfport, MS 39503-4653
Phone
(288) 206-1905
NPI assigned
Apr 21, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 909859 MS
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 905986 MS Primary

Addresses

Primary practice location

14231 Seaway Rd Ste 3004
Gulfport, MS 39503-4653

Mailing address

13737 Puerto Dr
Ocean Springs, MS 39564-2549
Phone (228) 365-4765

Other names 1

  • Adrienne Dianne Hogue Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107004084 MS Practitioner - Nurse Practitioner 0345697603 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
909859MSMDRegistered Nurse
905986MSMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Women'S Health, PLLC CurrentSince Aug 23, 2023 Accepting new patients

Locations

14231 Seaway Rd
Ste 3004
Gulfport, MS 39503
Phone (228) 206-1905

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1629650452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 PUERTO DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395642549",
            "telephone_number": "228-365-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14231 SEAWAY RD STE 3004",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034653",
            "telephone_number": "288-206-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "ADRIENNE",
        "middle_name": "DIANNE HOGUE",
        "credential": "WHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "909859",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MS",
            "license": "905986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIENNE",
            "last_name": "HOGUE",
            "middle_name": "DIANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

Verify at the official NPI Registry.