Active NPI
Alexandra Tirrell Hobbs, NP
- Pediatric Nurse Practitioner
- Flowood, MS
National Provider Identifier
1982103198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 902560
- Practice address
- 2510 Lakeland Dr
Flowood, MS 39232-9513 - Phone
- (601) 355-1234
- Fax
- (601) 352-4882
- NPI assigned
- Feb 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 210241 | TN | |
| Pediatric Nurse Practitioner | 363LP0200X | 20163711 | TN | |
| Pediatric Nurse Practitioner | 363LP0200X | 902560 | MS | Primary |
Addresses
Primary practice location
2510 Lakeland Dr
Flowood, MS 39232-9513
Mailing address
2510 Lakeland Dr
Flowood, MS 39232-9513
Phone (601) 355-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210241 | TN | MD | Registered Nurse |
| 20163711 | TN | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1982103198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329513",
"telephone_number": "601-355-1234",
"fax_number": "601-352-4882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 LAKELAND DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329513",
"telephone_number": "601-355-1234",
"fax_number": "601-352-4882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "ALEXANDRA",
"middle_name": "TIRRELL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-03",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "210241",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TN",
"license": "20163711",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MS",
"license": "902560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.