Individual provider Active NPI

Dayna Hamm Pridgen, FNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1649689548
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
881108 Issued in MS
Practice address
1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153
Phone
(888) 731-8994
NPI assigned
Aug 5, 2014
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 881108 MS Primary

Addresses

Primary practice location

1050 SW 6TH Ave Ste 1100
Portland, OR 97204-1153

Mailing address

PO Box 291
Taylorsville, MS 39168-0291
Phone (601) 705-2897

Other practice location 1

111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994

Other practice location 2

700 Main St Ste 3
Bangor, ME 04401-6800
Phone (888) 731-8994

Other practice location 3

1299 Farnam St Ste 300
Omaha, NE 68102-1857
Phone (888) 731-8994

Other practice location 4

100 Sun Ave NE Ste 650
Albuquerque, NM 87109-4670
Phone (888) 731-8994

Other practice location 5

317 E Capitol St Ste 200
Jackson, MS 39201-3405
Phone (888) 731-8994

Other identifiers 1

IdentifierTypeStateIssuer
01839212MedicaidMS

Other names 1

  • Dayna Michelle Hamm Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150213001384 MS Practitioner - Nurse Practitioner 4981929932 Reassigns benefits to 1 organization
I20220606000112 NM Practitioner - Nurse Practitioner 4981929932 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
881108TXMDRegistered Nurse
881108MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Care Clinic, Inc. Current Accepting new patients
St Michaels Urgent Care of Hattiesburg Family CurrentSince Sep 21, 2015 Accepting new patients
St Michael Urgent Care of Hattiesburg LLC Current Accepting new patients
Family Health Care Clinic, Inc. CurrentSince May 14, 2020 Accepting new patients
Family Health Care Clinic, Inc. CurrentSince May 14, 2020 Accepting new patients
Integrative Womens Care PC Past Accepting new patients

Locations

290 Highway 51 N
Brookhaven, MS 39601
Phone (601) 823-1710

3700 Hardy St
Ste 10
Hattiesburg, MS 39402
Phone (601) 544-7012

4635 Highway 80 E
Pearl, MS 39208
Phone (601) 502-3009

Interoperability endpoints

  • Direct secure messaging: dayna.pridgen.1@27069.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1649689548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391680291",
            "telephone_number": "601-705-2897",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 SW 6TH AVE STE 1100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972041153",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Orange Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328012381",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016800",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Farnam St Ste 300",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681021857",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Sun Ave NE Ste 650",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871094670",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "317 E Capitol St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392013405",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "DAYNA",
        "middle_name": "HAMM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "881108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01839212",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYNA",
            "last_name": "HAMM",
            "middle_name": "MICHELLE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.