Brianna Jenelle Hanekom, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

25NR13841800 Issued in NJ

Practice address

400 Laurel Oak Rd Ste 105
Voorhees, NJ 08043-4455

Phone

(856) 922-9895

NPI assigned

Aug 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1093361933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LAUREL OAK RD STE 105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAUREL OAK RD STE 105",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434455",
            "telephone_number": "856-922-9895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 Arneys Mount Birmingham Rd",
            "address_purpose": "LOCATION",
            "city": "Pemberton",
            "state": "NJ",
            "postal_code": "080689704",
            "country_code": "US",
            "telephone_number": "609-351-3830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANEKOM",
        "first_name": "BRIANNA",
        "middle_name": "JENELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-15",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "NJ",
            "license": "25NR13841800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "address_1": "400 Laurel Oak Rd Ste 105",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Hamlin, FNP-C
• Curtis Tony Ray Hampton, M.D.
• Kang Hoo Han, DO
• Sunkyu Han
• Heidi Lynn Handler, MD
• Kelsey Kathleen Hanlon, MSN, CNM, WHNP-BC
• Jeffrey P Hanna, LCSW
• Rachel E Hannagan, MS
• Lisanne Floto Hanrahan
• Corey A Hanson, MS, CCC-SLP

• Diabetes Educator Registered Nurse in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Diabetes Educator Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.