NPIMap

Organization Active NPI

Nancy E Weible

Doing business as NAN Family Healthcare

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Hattiesburg, MS
National Provider Identifier
1760693071
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
12913 Issued in MS
Legal business name
NANCY E WEIBLE
Doing business as
NAN Family Healthcare
Practice address
6120 U S Highway 49
Hattiesburg, MS 39401-7300
Phone
(601) 288-8004
Fax
(601) 288-8012
NPI assigned
May 25, 2007
Last updated
Jun 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Nancy Elaine Weible, MDNPI 1568419513
Title
Owner
Phone
(601) 288-8004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 12913 MS Primary

Addresses

Primary practice location

6120 U S Highway 49
Hattiesburg, MS 39401-7300

Mailing address

6120 U S Highway 49
Hattiesburg, MS 39401-7300
Phone (601) 288-8004

Other identifiers 6

IdentifierTypeStateIssuer
0130116OtherMSUNITED HEALTHCARE INDIVIDUAL
080154729OtherMSMEDICARE RR INDIVIDUAL
5266238OtherMSAETNA INDIVIDUAL
00119477OtherMSMEDICAID INDIVIDUAL
500749239IOtherMSBLUE CROSS INDIVIDUAL
9015909MedicaidMS

Other names 1

  • NAN Family Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

6120 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-8004

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1760693071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017300",
            "telephone_number": "601-288-8004",
            "fax_number": "601-288-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 U S HIGHWAY 49",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017300",
            "telephone_number": "601-288-8004",
            "fax_number": "601-288-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY E WEIBLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "WEIBLE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-288-8004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MS",
            "license": "12913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE  INDIVIDUAL",
            "identifier": "0130116",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR  INDIVIDUAL",
            "identifier": "080154729",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA  INDIVIDUAL",
            "identifier": "5266238",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID  INDIVIDUAL",
            "identifier": "00119477",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  INDIVIDUAL",
            "identifier": "500749239I",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9015909",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NAN Family Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.