Individual provider Active NPI

Marie Jordan Hanna, BSN, MSN, CRNP

  • Pediatric Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1760748503
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-111571 Issued in AL
Practice address
239 Church St Ste a
Alexander City, AL 35010-2517
Phone
(256) 234-4443
Fax
(256) 234-3686
NPI assigned
Apr 5, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20180719002321 AL Practitioner - Nurse Practitioner 7719234962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-111571ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tadpole Pediatrics, LLC CurrentSince Apr 9, 2023 Accepting new patients

Locations

44 Aliant Pkwy
Alexander City, AL 35010
Phone (256) 234-4131

239 Church St
Ste A
Alexander City, AL 35010
Phone (256) 234-4404

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-111571 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

239 Church St Ste a
Alexander City, AL 35010-2517

Mailing address

PO Box 2008
Alexander City, AL 35011-2008
Phone (256) 234-4443

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 7, 2026.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1760748503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2008",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350112008",
            "telephone_number": "256-234-4443",
            "fax_number": "256-234-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CHURCH ST STE A",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350102517",
            "telephone_number": "256-234-4443",
            "fax_number": "256-234-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNA",
        "first_name": "MARIE",
        "middle_name": "JORDAN",
        "name_prefix": "Mrs.",
        "credential": "BSN, MSN, CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-111571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.