Active NPI
Anne Elder Hackett, MD
- Anesthesiology Physician
- Sunrise, FL
National Provider Identifier
1154390045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD035921E
- Practice address
- 1613 N. Harrison Parkway Suite 200
Sunrise, FL 33323 - Phone
- (954) 683-0649
- Fax
- (954) 514-3922
- NPI assigned
- Mar 14, 2006
- Last updated
- Jul 6, 2015
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 14075 | WV | |
| Anesthesiology Physician | 207L00000X | MD035921E | PA | Primary |
Addresses
Primary practice location
1613 N. Harrison Parkway Suite 200
Sunrise, FL 33323
Mailing address
1300 Deer Run
Morgantown, WV 26508-9177
Phone (304) 288-1930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0058310000 | Medicaid | WV |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14075 | WV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia University Medical Corporation | Past | Accepting new patients | |
| Sheridan Healthcare of West Virginia Inc | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- aehacket@yourcarecommunity.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436140800000",
"number": "1154390045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 DEER RUN",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265089177",
"telephone_number": "304-288-1930",
"fax_number": "304-594-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1613 N. HARRISON PARKWAY SUITE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "33323",
"telephone_number": "954-683-0649",
"fax_number": "954-514-3922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HACKETT",
"first_name": "ANNE",
"middle_name": "ELDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2015-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "14075",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD035921E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0058310000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.