Amy O'Daniel, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R857611 Issued in MS

Practice address

3411 W Main St
Tupelo, MS 38801-9413

Phone

(662) 844-9376

Fax

(662) 844-4326

NPI assigned

Dec 1, 2014

Sex

Female

Sole proprietor

No

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.

• North Mississippi Medical Clinics Inc

  • Internal Medicine Physician
  • Tupelo, MS
  • NPI 1053469486

  Family, MS

  Medicare reassignment Care Compare group NPD
• North Mississippi Medical Center

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1376969683
  NPD
• North Mississippi Medical Clinics Inc

  • Pulmonary Disease Physician
  • Tupelo, MS
  • NPI 1104937143
  NPD
• North Mississippi Medical Clinics Inc

  • Obstetrics & Gynecology Physician
  • West Point, MS
  • NPI 1588769970
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Mississippi Medical Center, Inc.

  • Home Health Agency
  • Tupelo, MS
  • NPI 1003871344
  Care Compare affiliation
• North Mississippi Medical Center, Inc.

  • General Acute Care Hospital
  • Tupelo, MS
  • NPI 1598875460

  Hospital

  Care Compare affiliation

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Mississippi Medical Clinics Inc 120 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Mississippi Medical Ctr HHA Home health agency, Tupelo, MS, CCN 257002
• North Mississippi Medical Center Hospital, Tupelo, MS, CCN 250004

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amyodaniel@nmhs.medalliesdirect.net

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1417392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1669879003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019413",
            "telephone_number": "662-844-9376",
            "fax_number": "662-844-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019413",
            "telephone_number": "662-844-9376",
            "fax_number": "662-844-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DANIEL",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-01",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R857611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03500366",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Mental Health/Mental Retardation Commission
• Allison Burks Norwood, O.D.
• Jessica Ruth Nunley, LPN
• Nurse Anesthesia Providers, Inc
• Sarah O'Brien
• Kristy O'Dell
• Peggy Jo Oakes
• William Thomas Oakes Jr., M.D.
• Obstetrics Gynecology Associates PA
• Oceans Behavioral Hospital of Tupelo, LLC

• All providers in Tupelo, MS
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.