Active NPI
Mary Lee Hanemann, APRN
- Medical-Surgical Clinical Nurse Specialist
- Mandeville, LA
National Provider Identifier
1124354758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Clinical Nurse Specialist
- License
- RN071661 AP03536
- Practice address
- 1021 Whitetail Dr
Mandeville, LA 70448-1998 - Phone
- (985) 778-0528
- NPI assigned
- Nov 2, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Clinical Nurse Specialist | 364SM0705X | RN071661 AP03536 | LA | Primary |
Addresses
Primary practice location
1021 Whitetail Dr
Mandeville, LA 70448-1998
Mailing address
1021 Whitetail Dr
Mandeville, LA 70448-1998
Phone (985) 778-0528
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)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN071661 AP03536 | LA | MD | Medical-Surgical Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257120000000",
"number": "1124354758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 WHITETAIL DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704481998",
"telephone_number": "985-778-0528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 WHITETAIL DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704481998",
"telephone_number": "985-778-0528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEMANN",
"first_name": "MARY",
"middle_name": "LEE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "364SM0705X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Medical-Surgical",
"state": "LA",
"license": "RN071661 AP03536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.