Karen Marie Hannah, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TAP3208 Issued in AZ

Practice address

5060 N 19TH Ave Ste 102
Phoenix, AZ 85015-3211

Phone

(602) 296-5540

Fax

(602) 296-5442

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: karen.hannah@39508185645060.direct.elationemr.com

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

• Valley Wellness Center PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1669994539

  AZ

  Medicare reassignment NPD

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1043465206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153211",
            "telephone_number": "602-296-5540",
            "fax_number": "602-296-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 N 19TH AVE STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850153211",
            "telephone_number": "602-296-5540",
            "fax_number": "602-296-5442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8914 N 91st AVE",
            "address_2": "STE 100",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "85345",
            "country_code": "US",
            "telephone_number": "623-877-0100",
            "fax_number": "623-328-7386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNAH",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "AP3208",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "AP3208",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "AZ",
            "license": "AP3208",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP3208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490223",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennnis E. Hanna, D.D.S.
• Hannah Rae Hanna
• Janelle Maria Hanna, PA C
• Mathew Hanna
• Nancy J Hanna, PHARM D
• Erin Hanneken, SLP
• Avery Ryan Hannigan, SLPA
• Timothy Patrick Hannigan, PA-C
• Jennifer Hannon, FNP
• Oryana Hannoona, RD

• All providers in Phoenix, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.