Active NPI
Marie Jordan Hanna, BSN, MSN, CRNP
- Pediatric Nurse Practitioner
- Alexander City, AL
National Provider Identifier
1760748503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-111571
- 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.
-
- Pediatrics Physician
- Alexander City, AL
- NPI 1134814155
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-111571 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tadpole Pediatrics, LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-111571 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.