Organization Active NPI

Amber Hill Agnp LLC

  • Acute Care Nurse Practitioner
  • Southaven, MS
National Provider Identifier
1811746936
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
AMBER HILL AGNP LLC
Practice address
2954 Ainsworth LN
Southaven, MS 38672-7028
Phone
(662) 897-6090
NPI assigned
May 13, 2024
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Amber Hill, AGNPNPI 1891249389
Title
Member
Phone
(662) 897-6090

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
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

2954 Ainsworth LN
Southaven, MS 38672-7028

Mailing address

2954 Ainsworth LN
Southaven, MS 38672-7028

National Provider Directory

National Provider Directory

Locations

2782 Star Landing Rd E
Southaven, MS 38672
Phone (662) 291-7651

Practitioners & affiliated clinicians

Practitioners 1

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": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1811746936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2954 AINSWORTH LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2954 AINSWORTH LN",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727028",
            "telephone_number": "662-897-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBER HILL AGNP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "662-897-6090",
        "authorized_official_credential": "AGNP"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.