Amanda L Hannah, NURSE PRACTITIONER

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

33968 Issued in TN

Practice address

6063 Mount Moriah Road Ext Ste 4
Memphis, TN 38115-2665

Phone

(901) 683-0024

Fax

(901) 683-0086

NPI assigned

Apr 24, 2020

Last updated

Apr 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Darsalud Community Center Inc

  dba Lifedoc Health

  • General Practice Physician
  • Memphis, TN
  • NPI 1174184709
  Medicare reassignment NPD
• Dar Salud Care PLLC

  dba Dar Salud Pharmacy

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1598018806
  NPD
• Darsalud Community Center Inc

  dba Lifedoc Pharmacy

  • Community/Retail Pharmacy
  • Memphis, TN
  • NPI 1841158375
  NPD (past)

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1649890088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LENOX PARK DR STE 202",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381158200",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6063 MOUNT MORIAH ROAD EXT STE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381152665",
            "telephone_number": "901-683-0024",
            "fax_number": "901-683-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TN",
            "license": "33968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Grace Hanna, DNP
• Debra Lee Hanna, M.D.
• McKenzie Hanna
• William R Hanna Jr., MD
• Charles Page Hannaford, PH.D.
• Christopher Hannah
• Marcia Hannah
• Alice Hannifin, NP-C
• Angela Marie Hanor, FNP
• Casey Hansen

• Pediatric Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Pediatric Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.