Individual provider Active NPI

Rosemarie Dorothy Hanan, NCMT

  • Specialist
  • Chantilly, VA
National Provider Identifier
1093936346
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0019002922 Issued in VA
Practice address
4229 Lafayette Center Dr
Suite 1900
Chantilly, VA 20151-1209
Phone
(703) 378-2251
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0019002922 VA Primary

Addresses

Primary practice location

4229 Lafayette Center Dr
Suite 1900
Chantilly, VA 20151-1209

Mailing address

12732 Taustin LN
Herndon, VA 20170-2978
Phone (703) 318-8351

Other names 1

  • Ms. Rose Hanan Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0019002922VAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093936346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12732 TAUSTIN LN",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201702978",
            "telephone_number": "703-318-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR",
            "address_2": "SUITE 1900",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511209",
            "telephone_number": "703-378-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANAN",
        "first_name": "ROSEMARIE",
        "middle_name": "DOROTHY",
        "name_prefix": "Ms.",
        "credential": "NCMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0019002922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "HANAN",
            "prefix": "MS.",
            "credential": "NCMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.