Amanda Laine McArthur-Macisaac, RN, BSN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

880272 Issued in MS

Practice address

5909 Highway 49 South,
Suite 30
Hattiesburg, MS 39402

Phone

(601) 296-2780

Fax

(601) 296-2781

NPI assigned

Jan 11, 2019

Last updated

Jan 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1891269940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S 28TH AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394017246",
            "telephone_number": "601-296-2780",
            "fax_number": "601-579-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 HIGHWAY 49 SOUTH,",
            "address_2": "SUITE 30",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-296-2780",
            "fax_number": "601-296-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCARTHUR-MACISAAC",
        "first_name": "AMANDA",
        "middle_name": "LAINE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "MS",
            "license": "880272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Mayberry, OTD, OTR/L
• Shedrieka Maye
• Diann Branton Mayfield, CNP
• MC Medical, Inc.
• Jennifer H McAdory, PMHNP
• Amanda McBride, MS, ATC
• Sonya McBride, R N
• Daniel T McCall IV, MD
• Joseph Todd McCall, ATC, NREMT
• Hannah E McCallum, ACNP

• Diabetes Educator Registered Nurse in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Diabetes Educator Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.