MS. AMANDA NICOLE HANSON (NPI# 1619214541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619214541 |
| Entity Type | Individual |
| Full Name | MS. AMANDA NICOLE HANSON |
| Credential | NP-C |
| Practice Address |
1391 Broad Ave Gulfport MS 39501-2419 |
| Practice Telephone | 2288638868 |
| Mailing Telephone | 2288638868 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2019-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R875468 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 087588233 | 05 | |
| MS | MEDICARE PTAN | 385845YSCQ | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257315 | Amanda Hanson | Nurse Practitioner | 2938 Highway 18 W, Fayette, AL 35555-6007 | 2019-10-18 |
| 1174032643 | Amanda Grace Hanson | Acupuncturist | 154 Mariner Green Ct, Corte Madera, CA 94925-2014 | 2017-09-27 |
| 1760089528 | Amanda M Hanson | Counselor | 10200 Kenai Spur Hwy, Kenai, AK 99611-7807 | 2020-10-05 |
| 1346881315 | Amanda Michelle Hanson | Physical Medicine & Rehabilitation | 900 Junction Dr, Allen, TX 75013-5290 | 2019-10-01 |
| 1447710199 | Amanda Nicole Hanson | Massage Therapist | 1138 Nw Market St, Seattle, WA 98107-3710 | 2019-03-20 |
| 1588190540 | Amanda Hanson | Physical Therapist | 2809 Denny Ave, Pascagoula, MS 39581-5301 | 2017-05-11 |
| 1710391362 | Amanda Hanson | Genetic Counselor, MS | 2825 50th St, Sacramento, CA 95817-2310 | 2014-06-11 |
| 1780927392 | Amanda Hanson | Speech-Language Pathologist | 150 Avenue B Se, Winter Haven, FL 33880-3037 | 2013-04-02 |
| 1346592466 | Amanda Hanson | Registered Nurse | 151 S 4th St, Suite 401, Grand Forks, ND 58201-4715 | 2012-10-12 |
| 1205196490 | Amanda Hanson | Counselor | 10909 Memorial Hwy, Tampa, FL 33615-2511 | 2012-05-21 |
| Street Address |
1391 BROAD AVE |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710916564 | Wakkas Tayara | Internal Medicine | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2006-07-02 |
| 1699322024 | Kimberly S Livings | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2019-08-21 |
| 1790347540 | Taylor Ronquillo | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2019-07-02 |
| 1760941223 | Mariah L Cox | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2019-03-14 |
| 1285120675 | Tony Alexander Turan | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2018-07-09 |
| 1881083046 | Melissa Steenkamp | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2015-01-12 |
| 1972910230 | Elizabeth Drummond | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2014-07-18 |
| 1346656543 | Coast Cardiovascular Consultants | Clinical Nurse Specialist | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2014-07-08 |
| 1760570550 | Lezlie Mathews | Nurse Practitioner | 1391 Broad Ave, Gulfport, MS 39501-2419 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293371 | Hanna Fernandez | Nurse Practitioner | 14225 Dedeaux Rd, Gulfport, MS 39503-3369 | 2020-10-26 |
| 1063033108 | Tiffany Reffit | Nurse Practitioner | 4300 15th St Ste B, Gulfport, MS 39501-2524 | 2020-04-29 |
| 1669002333 | Lauren Renee Meaut | Nurse Practitioner | 1391 Broad Ave Ste 320, Gulfport, MS 39501-2419 | 2020-01-22 |
| 1871132076 | Meddol Regina Mccray | Nurse Practitioner | 2070 30th St, Gulfport, MS 39501-6055 | 2020-01-06 |
| 1154968394 | Carolyn Marie Peters | Nurse Practitioner | 10236 Little Gem Dr, Gulfport, MS 39503-8357 | 2019-12-06 |
| 1588121578 | Mai Thi Tran | Nurse Practitioner | 1404 44th Ave, Gulfport, MS 39501-2554 | 2019-02-26 |
| 1861957631 | Tomika Marie Dedeaux | Nurse Practitioner | 283 Debuys Rd, Gulfport, MS 39507-2800 | 2019-02-06 |
| 1861963993 | Carol Leigh Anne Thompson | Nurse Practitioner | 2449 Summerwood, Gulfport, MS 39507-2216 | 2018-12-16 |
| 1730679739 | Erica Lynn Turan | Nurse Practitioner | 3310 17th St, Gulfport, MS 39501-3915 | 2018-05-15 |
| 1740709773 | Justine Hunt | Nurse Practitioner | 8950 Lorraine Rd Ste B, Gulfport, MS 39503-4183 | 2017-09-11 |
| Find all providers in GULFPORT | ||||
Please comment or provide details below to improve the information on MS. AMANDA NICOLE HANSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.