Sandra Denise Lampkin, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

905459 Issued in MS

Practice address

350 W Woodrow Wilson Ave Ste 3572
Jackson, MS 39213-7682

Phone

(769) 251-5303

Fax

(769) 251-5681

NPI assigned

Aug 4, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Mississippi Civic Improvement Association, IncGroup PAC ID 4183533235, shared by 26 NPIs, 48 clinicians

Tamar Group LLCGroup PAC ID 7810291499, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tamar Group LLC

  • Professional Counselor
  • Jackson, MS
  • NPI 1407267578
  Medicare reassignment Care Compare group NPD
• Maxie Gordon MD & Associates, PLLC

  • Psychiatry Physician
  • Clinton, MS
  • NPI 1114105665
  NPD (past)
• NP Care Anywhere LLC

  • Adult Medicine Physician
  • Clinton, MS
  • NPI 1609718915
  NPD (past)

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1841927373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 3572",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137682",
            "telephone_number": "769-251-5303",
            "fax_number": "769-251-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W WOODROW WILSON AVE STE 3572",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392137682",
            "telephone_number": "769-251-5303",
            "fax_number": "769-251-5681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Springridge Rd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "MS",
            "postal_code": "390565606",
            "country_code": "US",
            "telephone_number": "601-488-8101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMPKIN",
        "first_name": "SANDRA",
        "middle_name": "DENISE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-04",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "905459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Moses Lam, MD
• John Timothy Lam, M.D.
• Bruce W Lambuth, M.D.
• Alexa Lampkin
• Karen Sue Lampkin, PT
• Taylor Timia Lampkin
• Frances Belle Lancaster
• Madeline Grace Lancaster
• John Adrian Lancon, M.D.
• Kelly K Land, CFNP

• Psychiatric/Mental Health Nurse Practitioner in Jackson, MS
• Providers in Jackson, MS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.