Active NPI
Amy Hanna
- Registered Nurse
- Brandon, MS
National Provider Identifier
1639767890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 856737
- Practice address
- 112 Stribling LN
Brandon, MS 39042-6600 - Phone
- (601) 664-7201
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse | 163W00000X | 856737 | MS | Primary |
Addresses
Primary practice location
112 Stribling LN
Brandon, MS 39042-6600
Mailing address
2010 Highpointe Dr Apt 267
Brandon, MS 39042-2927
Phone (662) 297-6990
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 856737 | MS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1639767890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 HIGHPOINTE DR APT 267",
"city": "BRANDON",
"state": "MS",
"postal_code": "390422927",
"telephone_number": "662-297-6990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 STRIBLING LN",
"city": "BRANDON",
"state": "MS",
"postal_code": "390426600",
"telephone_number": "601-664-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANNA",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "856737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.