Theresa Hamrick, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

RN195922 Issued in GA

Practice address

958 Joe Frank Harris Pkwy SE
Suite 101
Cartersville, GA 30120-2158

Phone

(770) 386-3011

Fax

(770) 386-4966

NPI assigned

Oct 24, 2012

Last updated

Nov 21, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cartersville Pediatric Associates

  • Pediatrics Physician
  • Cartersville, GA
  • NPI 1942326491
  NPD (past)

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1871846170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200429",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301209008",
            "telephone_number": "770-386-3011",
            "fax_number": "770-386-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 JOE FRANK HARRIS PKWY SE",
            "address_2": "SUITE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202158",
            "telephone_number": "770-386-3011",
            "fax_number": "770-386-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-24",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "RN195922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003129535A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Grace Haggard, RBT
• Hall Counseling Consulting and Education LLC
• Charles David Hall, CRNA
• Monica Asio Hall, CNM
• David E Hallstrand Jr., M.D.
• Hand Therapy Services, Inc.
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Harbin Clinic, LLC
• Harbin Clinic, LLC (Harbin Clinic Cartersville Home Dialysis)
• Harbin Clinic, LLC (Harbin Clinic at Cartersville)

• Pediatric Nurse Practitioner in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Pediatric Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.