Individual provider Active NPI

Amber Brooke Hankins, FNP-C

  • Family Nurse Practitioner
  • Grenada, MS
National Provider Identifier
1922767938
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
905050 Issued in MS
Practice address
350 Sunset Dr
Grenada, MS 38901-4613
Phone
(662) 307-2750
NPI assigned
Dec 17, 2021
Last updated
Dec 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 905050 MS Primary

Addresses

Primary practice location

350 Sunset Dr
Grenada, MS 38901-4613

Mailing address

350 Sunset Dr
Grenada, MS 38901-4613
Phone (662) 307-2750

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220215002686 MS Practitioner - Nurse Practitioner 8729471792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quick Care Clinic LLCGroup PAC ID 2961713748, 2 clinicians

Practice addresses (Care Compare)

350 Sunset Dr
Grenada, MS 38901-4613
Phone (662) 307-2750

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
C and K Pharmacy CurrentSince Dec 21, 2021 Accepting new patients
Quick Care Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Southside Medical Clinic, LLC Current Accepting new patients
Stanford Medical Inc CurrentSince Mar 1, 2024 Accepting new patients

Locations

1117 Sunset Dr
Ste 101
Grenada, MS 38901
Phone (662) 226-1168

350 Sunset Dr
Grenada, MS 38901
Phone (662) 307-2221

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24236/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1922767938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014613",
            "telephone_number": "662-307-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUNSET DR",
            "city": "GRENADA",
            "state": "MS",
            "postal_code": "389014613",
            "telephone_number": "662-307-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "AMBER",
        "middle_name": "BROOKE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "905050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grenada, MS

Sources for this page

Verify at the official NPI Registry.