Active NPI
Zannetta Hanks, SOCIAL WORKER
- Social Worker
- Owyhee, NV
National Provider Identifier
1104163005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2442
- Practice address
- 1623 Hospital Way
Owyhee, NV 89832-0130 - Phone
- (775) 757-2403
- Fax
- (775) 757-3010
- NPI assigned
- Jan 11, 2013
- Last updated
- Jan 11, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2442 | ID | Primary |
| Social Worker | 104100000X | 3097-S | NV |
Addresses
Primary practice location
1623 Hospital Way
Owyhee, NV 89832-0130
Mailing address
PO Box 130
Owyhee, NV 89832-0130
Phone (775) 757-2403
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2442 | ID | MD | Social Worker |
| 3097-S | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357862400000",
"number": "1104163005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "OWYHEE",
"state": "NV",
"postal_code": "898320130",
"telephone_number": "775-757-2403",
"fax_number": "775-757-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1623 HOSPITAL WAY",
"city": "OWYHEE",
"state": "NV",
"postal_code": "898320130",
"telephone_number": "775-757-2403",
"fax_number": "775-757-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKS",
"first_name": "ZANNETTA",
"name_prefix": "Ms.",
"credential": "SOCIAL WORKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-11",
"last_updated": "2013-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "ID",
"license": "2442",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "3097-S",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Owyhee, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.